Vacation Bible School Registration
Event Timing: July 8-12, 2019
Event Address: 293 Place St., Lucknow
Contact us at (519) 528-3133 or
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Child's Name (First & Last)
Child's Age (as of December 31, 2018)
Medical Information (allergies, asthma, etc.)
Home Phone #
Cell Phone #
In Case of Emergency Contact (name & phone #)
Would you like to purchase a CD with this year's music for $5
If registering multiple children, you only need to check "Yes" once. If you want more than one CD per family, please note it in the comments section. Thanks!
Yes, but unable to afford the cost
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