SHIPWRECKED VBS 2018 OBPC REGISTRATION!!!
Thank you for registering your child for SHIPWRECKED VBS at Outer Banks Presbyterian Church! You will need to complete this form for each child you register. We look forward to seeing you this summer. Please feel free to contact us with any questions! You may email Hollie Writtenberry-Lewis, Director of Youth, Children, & Young Families Ministry, at holliewrittenberry@gmail.com. We will see you on July 16 at 9:00 AM!
What is your child's first name? *
Your answer
What is your child's last name? *
Your answer
What is your child's date of birth? *
Your answer
What is the last grade your child completed? *
What is the parent/guardian name? *
Your answer
What is the parent/guardian phone number? *
Your answer
What is the child's home address, including city/state and zip? *
Your answer
Please provide an emergency contact person and phone number *
Your answer
Please list any special needs or food allergies
Your answer
Please list the parent/guardian email address *
Your answer
Has your child attended VBS at Outer Banks Presbyterian Church before?
Are you a member of a church? If so, please list where.
Your answer
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