Basic Elements (Science) VBS Registration

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VBS will take place at Mechanicsburg Christian Fellowship - 4401 Allison Road Mechanicsburg, OH 43044.
June 14-18
6pm-8:15pm
*Right now we are offering it to children who have completed any grade from K-5*
Please complete for each child in your household that you want to register.

Child's Full Name (First and Last) *

Age *

Birthdate *

YYYY

Home Address *

Parent/Guardian Name(s) *

Phone # we can reach you *

May we text you? *

Yes

Emergency contact (Name & Phone #) Please list 2. *

Please list any Allergies/Concerns/Special Needs *

Please provide the last grade completed and the year attended. *

Are you ok with pictures of child on social media? Ex. Private FB page or Church website *

Yes

Are you interested in volunteering? If yes, please provide name and number. You will be contacted :)

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