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This form is available for those requiring special needs at this event.

Special needs may include any of the following as well as any other circumstance that may require special attention.  We ask that you please fill out this form to let us know the specifics of your special needs so that we may best accomodate you and your guest(s).

  • Handicapped Seating (where available).
  • Hearing Impaired Seating (where available).
  • Visually Impaired Seating (where available).
  • Special Guests.
  • Any other special need you feel requires special attention.


What is your name? (first and last name, please)
  
How many seats will be required?
  
How would you like us to contact you regarding these seats?
     
At this E-mail Address:
- or -
At this Phone Number:

Please describe the circumstances of your special need:
PLEASE INCLUDE THE DATE AND TIME OF THE EVENT YOU WISH TO ATTEND!!

  

 
First Baptist of Jacksonville 124 West Ashley Street Jacksonville, FL 32202 | 904.356.6077 2006 First Baptist of Jacksonville
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