VBS Registration
July 19-23 5:45-8:15 PM
Ages 4 - completed 4th grade 
Surfside Presbyterian Church
8732 US Hwy 17 Bypass S.
Myrtle Beach, SC 29588
Contact Leila at (843) 650-2020 or nursery@surfsidepres.com
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Child Name *
Child Age *
Birthday *
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Grade completed as of June'23 *
School
Does your child have any allergies? *
Parent Name *
Parent Phone Number *
Parent Email Address *
Who can pick up my child? *
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