VBS Registration Breaker Rock Beach 2024 
Registration form for Living River Chapel VBS 
June 23-27 
5:30pm - 8:00pm
Living River Chapel 
111 Old Woman's Run Road
Sutton, WV 26601
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Email *
Name of Child *
Child's Age and Grade *
Parent/Guardian *
Phone Number *
Address *
Church Home
Allergies *
Approved Individual/s For Pick-up *
Other Information
A copy of your responses will be emailed to the address you provided.
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