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Registration Form for VBS 2018
Email address *
Parent's Name(s) *
Your answer
Address *
(Street, City, State, Zip)
Your answer
Parents Phone Number(s) *
Your answer
Emergency Contact(s) *
In case of Emergency (if Parent/Guardian is unable to be reached) please contact... Please include Name, Phone Number, and Relationship to the Child of the Emergency Contact
Your answer
Does your child have permission to be photographed or recorded during Children's Ministries for use by Neshannock Alliance Church for church literature, website, bulletin boards and/or a presentation? *
Would you like to receive our monthly e-mail sent to inform families about upcoming special events for All Our HEART Kids? *
Would you like to be notified with a message to receive a reminder about a special event or if an activity is cancelled for some reason such as weather? If yes, please select the best way for you to receive information: *
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