Castletonhill Moravian Church Vacation Bible School
Dates: July 31st- August 4th, 2023 9 am - 12:15 pm
Event Address: 1657 Victory Blvd, Staten Island, NY 10314
Contact us at (718) 442-5215 or claypatriciam@gmail.com

We are excited to welcome your children to VBS 2023, Hero Hotline! VBS invites children age 4-12
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Email *
Child's First Name *
Child's Last Name *
Contact Email *
Child's Grade Completed *
Child's Age *
Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Address *
City *
State *
Zip Code *
Home Phone
Contact Cell Phone *
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact's Phone Number *
Person Responsible to Pickup's Name
Pickup Person's Relationship (Parent, Grandparent, etc.)
Pickup Person's Phone Number
Dietary restrictions *
Do you agree to allow photos of your child to be used in church presentation or church promotional materials? *
Physician's Name *
Physician's Address *
Physician's Phone *
Home Church
T-Shirt Size *
Anything else we need to know?
Registration Payment
Please mail your check for the $60 registration fee to the church at
1657 Victory Blvd, Staten Island, NY 10314
Please let us know if you want to apply for a fee waiver. We welcome all to VBS, regardless of financial means.
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