VBS Registration Form
Porters Creek Baptist Church
June 9-14, 2024
6:00 - 8:30 pm
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Child's Name *
Birthday *
MM
/
DD
/
YYYY
Grade for Next School Year *
Medical Condition/Food Allergies *
Address *
Parent/Guardian Name *
Phone (primary) *
Emergency Contact (other than parent/guardian) *
Emergency Contact Phone Number *
Who may pickup your child? *
Permission to photograph your child? *
Submit
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