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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