2019 Vacation Bible School Registration Form
June 6-20, 2019
Sunday, June 16 4:00pm - 7:00pm (All Ages - The Young and Not As Young)
Monday-Thursday (Ages 2 - Rising 8th Grade)

One registration form needed PER REGISTRANT.

If interested in helping or have any questions please contact Ali Jones @ alihilljones@gmail.com or 803-942-2103.
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Child's Name *
Parent/Guardian Name *
Street address *
City, State ZIP *
Email *
Best Phone Number to Reach You *
Child's Age *
Child's Date of Birth *
MM
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DD
/
YYYY
Grade Completed in July 2019 *
Home church (if not Ebenezer)
Please list any health conditions we should know about:
List the name and phone number of the person we should contact should we need him or her during Vacation Bible School (family and non-family contacts). *
Please list all phone numbers with clear descriptions (Ex. "John's cell," "Mary's work," "grandmother's landline.")
If parents are helping with VBS, please list where.
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