Newark Central Christian Church (Disciples of Christ) Vacation Bible School Registration
Vacation Bible School will run Sunday, June 12th - Thursday, June 16th from 6 p.m. to 8 p.m. Please fill out one registration for each child. Vacation Bible School will take place at 587 Mt. Vernon Road, Newark, OH 43055. If you have any questions or concerns, contact Amy Mangus at 740-258-8089.
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Monumental: Celebrating God's Greatness
Child's Name *
Child's Age *
Date of Birth *
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Last Grade Completed *
Name of parent(s)/caregiver(s) *
Mailing Address
Phone Number
E-mail
Do you want information about future events? *
What is the best way to get in contact with you? *
Please list anything else we need to know about your child including but not limited to allergies, medical conditions, special needs, custody issues, and food allergies.
In case of emergency, contact's name *
Emergency Contact's Phone Number *
Emergency Contact's Relationship to Child *
List of individuals with permission to pick up your child from Vacation Bible School. *
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