2016 Vacation Bible School Registration
Beacon Heights Community of Christ Congregation
* Required
Join us at Cross Creek Camp and go on an awesome adventure to discover God.
July 5 -7, 2016
6:00 p.m. to 8:30 p.m.
Child's Name
*
First and Last Name
Your answer
Street Address
*
Your answer
City
*
Your answer
State
Your answer
Zip Code
*
Your answer
Home Phone Number
Your answer
Parent's Email Address
Your answer
Grade in Fall 2016
*
Choose
Pre-School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Option 9
Child's Birthdate
MM
/
DD
/
YYYY
Special concerns (allergies, etc.):
*
Please identify any special concerns with your child or type "None" if there are none.
Your answer
Do you want to register another child?
Yes
No
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