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Backyard Bible Club: 2024
The Summer Bible Club 4 Kids!
Dates: Weekly from June 17 till July 31
Ages: Kids entering K-5 (
MUST be five years old
by August 31) till entering 7th grade.
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Email
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Parent's Name
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Street Address
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City, State, Zip Code
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Phone Number
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Emergency Contact
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Emergency Phone Number
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1. Child's Name
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Your answer
1. Child's Birthday
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DD
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1. Child's Allergies
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None
Bee Stings
Dairy
Nuts
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2. Child's Name
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2. Child's Birthday
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DD
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YYYY
2. Child's Allergies
None
Bee Stings
Dairy
Nuts
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Other
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3. Child's Name
Your answer
3. Child's Birthday
MM
/
DD
/
YYYY
3. Child's Allergies
None
Bee Stings
Dairy
Nuts
Seasonal
Other
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4. Child's Name
Your answer
4. Child's Birthday
MM
/
DD
/
YYYY
4. Child's Allergies
None
Bee Stings
Dairy
Nuts
Seasonal
Other
Clear selection
If you have a home church, please list it's name.
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Which club do you plan on attending (the majority of the time)?
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BBC: S Annville - Mons 9:30 - 11:30 am @ Hitz Home, 1660 S White Oak Street, Lebanon, PA 17042
BBC: N Cornwall - Tues 9:30 - 11:30 am @ Zeigler Home, 3360 Oak Street, Lebanon, PA 17042
BBC: Newmanstown - Weds 9:30 - 11:30 am @ 2 Memorial Blvd, Newmanstown, PA 17073
BBC: Jonestown - Weds 6:30 - 8:00 pm @ Ulrich Home, 306 Shepherd St, Jonestown, PA 17038
Do you grant permission for Backyard Bible Clubs/Newmanstown UC Church
to use pictures/videos of your child(ren) on their website/Facebook/youtube page for informational/promotional purposes.
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