KNIGHTS OF NORTH CASTLE - VBS 2022
Sunday, June 26th - Thursday, June 30th
Black Jack OFWB Church
2972 Black Jack-Simpson Road - Greenville, NC 27858
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Adresse e-mail *
Child's Name *
Gender
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Birthdate *
JJ
/
MM
/
YYYY
Grade Completed *
Address *
City *
State *
Zip *
Parent/Guardian *
Home or Cell Phone *
Work Phone
Emergency Contact *
Relationship to Child
Emergency Contact Phone *
Please place my child with.....
If your child would prefer to be with a friend that will be in a slightly different age group, please let us know that friend's name and we will do our best to get them together.  We want everyone to feel comfortable and have fun!!
Name of home church
Food Allergies? (If YES, please explain.) *
Medical Concerns? (If YES, please explain.) *
T-Shirt Size
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Envoyer
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