God’s Covenant of Grace, God’s Love Through Time
July 13th – 15th, 2017,
5:30PM-7:30PM Thursday & Friday Dinner served each night,

Saturday 9:30AM-12:00PM Lunch served after.. 

We welcome all families to the summer of 2017 Vacation Bible School for the whole family!
Please fill out the registration form below for each family.
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REGISTRATION FORM

Parent (1) Name:*
Parent (2) Name:
  • Children must be accompanied by an adult.
Child Name:(1)*
Age of #1:
Child Name:(2)
Age of #2:
Child Name:(3)
Age of #3:
Child Name:(4)
Age of #4:
Child Name:(5)
Age of #5:
Child Name:(6)
Age of #6:
Total Number Attending:*
Days Attending:*
Do you need nursery care?:
E-mail:*
Phone:*
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Emergency Contact (other than parent):*
Emergency Phone:*
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Please enter your full Address:*
Allergies (please list for all or NA for none:*
Regularly attend church?:
Where?:
Invited by?:

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