VBS Registration

 

 

June 24-26
6:30-8:30pm

Sunday, June 23, 6:30pm
Kickoff Cookout

 

 

 

 

1. Child's Name(required)
2. Age (as of Sept. 1, 2013)(required)
3. Grade (Fall 2013)(required)
4. My family attends Preston Road Church:
5. Yes No
6. Email(valid email required)
7. T-shirt Size (Child)
8. XS S M
   L XL
9. T-shirt Size (Adult)
10. S M L
    XL XXL
11. Please list any food allergies
12. If you are not a member of PRCC, please fill out the info below.
13. Visitor attending as guest of:
14. Your mailing address
15. During VBS I can be reached at this phone #:(required)
16. Parent Phone #2

 

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