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EFBC VBS 2021 Registration
Come journey with us to Mystery Island!
Ebenezer Faith Bible Church
630 State Route 93 Berwick PA 18603
June 20-June 24 for ages 3 through 8th grade.
6:00 p.m. - 8:15 p.m.
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Child's Name (First & Last):
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Child's Age:
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Last grade completed in school (if applicable):
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Mailing address:
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Parent/Guardian's Name:
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Parent/Guardian's Phone Number:
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Emergency Contact Name & Relationship to Child:
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Emergency Contact Phone Number:
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Does your child have any allergies or medical conditions that we should be aware of?
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Do we have permission to take your child's photograph and share on the church's website or Facebook account?
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Name of Church that Child/Family Attends (if applicable):
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