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Child's Name:
Age:
Parental Contact:
Phone Number:
-
-
Will they need transportation:
(please fill out one registration for each child wanting to attend)
Yes
No
Antioch Baptist Church
1105 50th Street NE
Washington, DC 20019
church@antiochabc.org
PastorGibbs@antiochabc.org
Rev. Dr. William H. Gibbs
Pastor
Tel: 202-399-8118
Fax: 202-398-3466
Directions
Questions or Comments
webmanager@antiochabc.org
