Pintlala Baptist Church VBS Registration
Event Timing: July 8th-11th, 2018 from 1:30 PM - 5:30 PM
Event Address: 73 Federal Road Hope Hull, AL 36043
Contact us at (334) 281-9439 or pintlalabaptistchurch@charter.net
Get ready for an action-packed 4-day super hero training camp where kids discover their strength in God!
1st Child Attending (Name, Age) *
Your answer
Date of Birth *
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Last School Grade Completed *
T-shirt Size (at no charge to you)
2nd Child Attending (Name and Age)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Last School Grade Completed
T-shirt Size (at no charge to you)
3rd Child Attending (Name and Age)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Last School Grade Completed
T-shirt Size (at no charge to you)
4th Child Attending (Name and Age)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Last School Grade Completed
T-shirt Size (at no charge to you)
Parent/Family/Guardian Name *
Your answer
Phone Numbers (Home)
Your answer
Phone Numbers (Cell)
Your answer
Allergies/Medical Information/Other Concerns *
Your answer
Emergency Contact (Name and Phone Number) *
Your answer
Dismissal Information (Name(s) of person(s) who may pick up your child from VBS) *
Your answer
Home Church
Your answer
Feedback: (Do you or your child have friends here a PBC? We'd like to know) *
Your answer
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