CBCOG 2021 Vacation Bible School Registration!
VBS Dates and Times: Mon. July 19 - Fri July 23 - 6 - 8 PM
VBS Location: Center Bethel Church of God - 428 Ruffsdale-Alverton Road, Alverton, PA
Contact us at: 724-404-8052 or office@cbcog.org or www.cbcog.org
Child's Name *
Child's Age *
Child's date of birth *
Child's latest school grade level completed *
Parent/Guardian Contact Name *
Parent/Guardian Mailing Address *
Parent/Guardian Phone *
Parent/Guardian email address
Do you have a current "home church" that you attend or belong to? *
If you answered "YES" for having a "home church", which church is it?
Does the child you are registering have any allergies, medical conditions, dietary restrictions, or other issues that we should be aware of to insure their health, safety, and enjoyment at VBS?
Emergency contact name: *
Emergency contact number: *
Emergency contact relation to the child: *
Use this space to provide any additional information or comments:
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