Vacation Bible School Registration June 8th - June 12th 9:00am to 1:00pm
Please fill out this form and click submit.
We are so exciteed to be traveling to Rome with Paul and the Underground Church.
Join us for a fun faith-filled week in June! Ages 4-11
Snacks will be provided
Child's Name
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Child's Age
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Parent/ Guardian Name
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Address
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Phone
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Email
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This address will receive a confirmation email
Any Allergies
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Yes
Describe Allergies
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Medical Conditions we should know about?
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T-Shirt Size
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Emergenc Contact Name
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Emergency Contact Phone
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Payment
$20.00
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Name on Card
Card Billing Address
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AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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