Prattville Church of Christ VBS 2022 Registration
Date: July 31st - August 3rd
Time: 6:30 - 8:30 (registration/sign-in begins at 6pm)
Launch Party July 31 @ 5:15. The entire family is invited to join us for a meal
before we begin our first night of VBS!
Prattville church of Christ
344 East Main Street Prattville, Al 36067
Contact us at 334-365-4201
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Child's First Name (One Form Per Child) *
Child's Last Name *
Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Street Address *
City *
State *
Zip code *
Email Address *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Last School Grade Completed *
Home Church *
Allergies/ Medical Information *
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact's Phone Number *
How Did You Hear About Our VBS? *
Adult(s) Approved to Pick Up Child? *
Attending Launch Party July 31 @ 5:15? *
Number of family members attending Launch Party (only answer once per family)
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