2019 Vacation Bible School Registration Form

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June 6-20, 2019
Sunday, June 16 4:00pm - 7:00pm (All Ages - The Young and Not As Young)
Monday-Thursday (Ages 2 - Rising 8th Grade)

One registration form needed PER REGISTRANT.

If interested in helping or have any questions please contact Ali Jones @ alihilljones@gmail.com or 803-942-2103.

Child's Name *

Parent/Guardian Name *

Street address *

City, State ZIP *

Email *

Best Phone Number to Reach You *

Child's Age *

Child's Date of Birth *

YYYY

Grade Completed in July 2019 *

Home church (if not Ebenezer)

Please list any health conditions we should know about:

List the name and phone number of the person we should contact should we need him or her during Vacation Bible School (family and non-family contacts). *

Please list all phone numbers with clear descriptions (Ex. "John's cell," "Mary's work," "grandmother's landline.")

If parents are helping with VBS, please list where.

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