Treasure Island Summer Bible Adventure Registration
Treasure Island Summer Bible Adventure is July 10-14, 2017 from 8:45 a.m. to 12:00 noon. To register your child(ren) , please complete the information below.
Email address
Family Last Name
Your answer
Phone Number
Your answer
Emergency Contact Phone Number
Your answer
Address
Your answer
City
Your answer
State
Zipcode
Your answer
Parent or Guardian Name
Your answer
E-Mail Address
Your answer
Church Affiliation, if any
Please list church name and city
Your answer
How did you hear about us?
Is Transportation Needed?
Transportation is available in some areas of West Chester. Please call for more information (610) 692-4492.
Child #1 - Name
Please include last name if different than family last name
Your answer
Child #1 - Gender
Child #1 - Birthday
MM
/
DD
/
YYYY
Child #1 - Grade Going Into
Please choose the grade the child will attend in Fall of 2016.
Child #1 - Allergies
Please note if the child has any of the following allergies.
Required
Is there a second child to register?
Your answer
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