Thomas Presbyterian Church VBS Registration
Monday, July 30 to Friday, August 3, 2018 6:00pm to 8:30pm
Thomas Church Christian Life Center
1068 Linden Rd.
Eighty Four, PA 15330
Questions? Contact Patti at pkkorintus@verizon.net
There is NO CHARGE for this Event. There will be mission offering for a local community service throughout the week.
Please fill out a registration form for each child. You will have a chance to do an additional registration when you submit this one.
Child Name *
Your answer
Date of Birth *
Your answer
Last Grade Completed *
Name of Parent(s) or Responsible Adult *
Your answer
Street Address, Town, Zip
Your answer
Phone Number
Your answer
Cel Number
Your answer
Email Address
Your answer
What days will you attend?
Describe Allergies and/or Medical Conditions
Captionless Image
Your answer
Emergency Contact Person & Relationship to Child *
Your answer
Emergency Contact Person Telephone Number *
Your answer
Comments, Questions *
Please list anything you'd like us to know for your child's safety, or any questions you may have.
Your answer
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