VBS at Pleasant Hill Baptist Church
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.)
Clear selection
Do you currently have a home church?
Clear selection
Any other information you would like us to know?
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