2016 Vacation Bible School Registration
Beacon Heights Community of Christ Congregation
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 *
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?
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