VBS at Pleasant Hill Baptist Church

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Please complete this form for the child/children you are registering. There will be a new section for each child's information (up to 5 children per form). If more than 5 children, please add them on another form. Thank you!

Dates and times:
June 17 & 18, 6 - 8:30 PM
June 19, 9 - 11 AM

Church address:
4899 Jordan Rd
Greer, SC 29651

Email *

Child's name

Child's age

Last school grade completed

Child's allergies or other medical conditions

Parent/Guardian name(s)

Telephone number

Street address

Child's shirt size

Do we have permission to photograph and/or publish your child's picture? (Social media, church website, etc.)

Yes

Clear selection

Do you currently have a home church?

Yes

Other:

Clear selection

Any other information you would like us to know?

Clear form

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