2019 MCBC VBS Registration... "In The Wild" June 21-23
134 Abney Road, Cochran, GA 31014
(478)934-0810
Child's Name *
Your answer
T-shirt size *
Age Group based on 2018-2019 school year *
Parent/Guardian Name *
Your answer
Mailing Address *
Your answer
Email Address *
Your answer
Phone #1 *
Your answer
Phone #2
Your answer
Medical information or other information we need to know. PLEASE LIST ANY ALLERGIES. *
Your answer
Emergency Contact #1 name and phone number (other than parents/guardians listed above) *
Your answer
Emergency Contact #2 name and phone number (other than parents/guardians listed above)
Your answer
Please list ALL people authorized to pick up your child at the end of VBS each day? *
Your answer
Does your child attend Sunday School? *
If you clicked yes above, where does your child attend Sunday School?
Your answer
If your child is visiting our church, who is he/she a guest of?
Your answer
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