CCPC 2021 Vacation Bible School Registration Form
Event Location: Zoom with Dial by Location
Event Dates and Times: July 15th-July 17th, 2021 6:30pm-7:20pm
Time: Jul 15, 2021 06:00 PM Eastern Time (US and Canada)

Registration Closes 5pm July 12th, 2021

Contact us at (301)262-6008 or ccpcyouth@verizon.net

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Parent's Name(s):
Email Address:
Can you attend? *
Child(ren) Name(s):
Child(ren) Grade(s):
Child's Birthday:
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Child's Birthday:
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Child's Birthday:
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How many will be in attendance (including adults and children)?
Do your children have permission to be recorded or photographed?
Clear selection
How did you hear about this event?
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Emergency Contact (other than parent):
Comments and/or questions
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