Neshaminy Warwick Presbyterian Church VBS 2021 Rocky Railway!

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Sunday, August 22nd through Wednesday, August 25th (6:00 pm to 8:00 pm).
Ages 3 years through 5th grade.
$15 per child donation requested for T-Shirt, CD, Snacks, and Crafts.
Contact: Donna Mazeika: 215.343.6060.
donna.mazeika@nwpc.net
Complete registration below.

Child's Name (First and Last Name) #1

Age and Last Grade Completed of Child #1

Child's Name (First and Last Name) #2

Age and Last Grade Completed of Child #2

Child's Name (First and Last Name) #3

Age and Last Grade Completed of Child #3

Child's Name (First and Last Name) #4

Age and Last Grade Completed of Child #4

Parent/Guardian's Name

Home Email Address

In Case of an Emergency, Name of Contact and Phone Number

Allergies/Medical Conditions

Home Church

Any additional information:

I give permission for my child to be included in photos or videos to be displayed on NWPC website and/or Facebook Page. Images will not be tagged. Please check below.

Yes

Name and Relation of Person Completing the Form

Submit

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