NCC VBS 2017 Registration
Event Timing: June 12th - June 16th, 6 PM - 8:30 PM
Event Address: 9801 Whitesville Rd. Fortson, GA 31808
Contact Amanda McMinn at alygator8705@yahoo.com if you have any questions!
Email Address
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Parent/Guardian Name(s)
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Primary Contact Name & Phone Number
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Secondary Contact Name & Phone Number
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Person(s) authorized to pick up your child from VBS
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Kids Name and Ages
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What days will you attend?
Required
Allergies and Food Restrictions
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Informed Consent

Required
Photography Waiver
Required
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