Vacation Bible School Registration Form 
We are excited to see you this summer but first we need some information from you! Please complete the form and click submit when finished. Not all fields are required. 

Mt. Vernon Baptist Church 
1007 S Roxboro Street, Durham, NC 27707
Twists and Turns: Following Jesus Changes the Game
-June 19-23, 2023
-Dinner to go will be provided
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Parent or Guardians Name: *
Phone number: *
Email: (If applicable)
Secondary emergency contact Name:
Phone number:
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