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VBS Registration Form
Vacation Bible School at Venice Presbyterian Church in Cecil Twp.

Your Name:
Child's Name:
Mailing Address:
Phone:
Email:
Age of Child and Date of Birth:
Last School Grade Complete:
In case of an emergency, who should we contact?
Name of Mother and Cell Phone:
Name of Father and Cell Phone:
Name of Other Emergency Contact and Cell Phone:
Allergies or other medical conditions:
Home church:
Name of a special friend your child might like to be with:
We need adult volunteers during Vacation Bible School week. Can you help?
Venice Presbyterian Church in Cecil Township, Pennsylvania