2024 Pisgah VBS Registration
Join us Monday, June 10th through Thursday, June 13th, each evening from 5:30 to 8:00pm. All children K-12th grade are welcome!

Pisgah Methodist Church, 621 N Ebenezer Rd, Florence, SC 29501
Church office: (843) 662-9611
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Child's Name: *
Parent/Guardian Name: *
Address: *
Email: *
Phone: *
Date of Birth: *
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Last Grade Completed: *
Special Concerns (allergies, medications, etc.): *
Home Church (if applicable): *
How did you hear about Pisgah VBS? *
Emergency Contacts (please list two, with phone numbers): *
Person(s) Approved to Pick-up from Pisgah VBS: *
PHOTO RELEASE: I hereby give permission for video/images of my child captured during Vacation Bible School at Pisgah United Methodist Church to be used in print/online publications, presentations, websites, and social media, and waive any rights to compensation or ownership thereto. *
Parent/Guardian Print Name: *
Parent/Guardian Signature (typing your name here indicates your signature): *
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