Vacation Bible School Registration Form 
We are excited to see you this summer but first we need some information from you! Please complete the form and click submit when finished. Not all fields are required. 

Mt. Vernon Baptist Church 
1007 S Roxboro Street, Durham, NC 27707
The Great Jungle Journey: 1 Timothy 1:17
-June 24-28, 2024
-6pm-8:30pm
-Dinner will be provided
-Please send inquires to youthministry@mvbcdurham.org. 
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Parent or Guardians Name: *
Phone number: *
Email: (If applicable)
Secondary emergency contact Name:
Phone number:
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