Pleasant Chapel VBS 2024
June 10-14
9:00 - 11:30 am

Registration Form
Please complete separate forms for multiple children
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Name of Child *
Street Address of Child *
City of Child *
State  of Child *
Zip  of Child *
Birth Date   of Child *
MM
/
DD
/
YYYY
Grade completed in school this year
Parent/Guardian's NAme *
Parent's phone number *
Parent's email
Is there Any important information we should know of your child (allergies, medical conditions, etc.)
Submit
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