LexStudents Connect

Name: Lexington Baptist Church
Address: 308 East Main St, Lexington, SC, 29072, US
Telephone: (803) 359-4146
Price range: $

LexStudents Connection Card

First Name

Last Name

Date of Birth

Address

City

State

Zip Code

School

Gender

Student's Cell Phone

If applicable

Student's Email

If applicable

Allergies?

If applicable

Mother (or Guardian) Full Name

Father (or Guardian) Full Name

Parent Contact Number (in case of an emergency)

Parents Email