Vacation Bible School Registration
June 18-22
9am - 12pm

Grace Covenant Presbyterian Church
Contact us at (804) 359-2463 or

Name of Participant *
Your answer
Participant Age *
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Name of Parent(s) or Guardian *
Your answer
Email *
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Mailing Address *
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Phone Number
Your answer
Dietary restrictions/Allergies
I understand that there is a $15 non-member fee, to be paid on the Monday, June 19 or before. *
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