First Presbyterian Church
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Vacation Church School Registration Form

Power Lab - Monday, July 14 - Friday July 18

Please fill out the following form to register your child/children for Vacation Church School

***All data is required

Parent/Guardian Name:
Street Address:
City/State/Zip: ,    
Home Phone:
Home e-mail address:
Home Church:
Allergies:
Emergency Contact:
(if other than home phone)		 Name:   Phone: 
Brought In By:
(if other than parent/guardian)		 Name:   Phone: 

 

Child's Name Gender Age Date of Birth Last Grade Completed

May we post your child's/children's photo(s) on our website? 
 

Is there another VCS student you would like your child to be placed with? 

 

 

 

 


 
     
 
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