Garden Chapel's VBS Registration Form
Date of Event: July 16th - 20th, 2018
Time: 6:00pm-8:30pm
Event Address: 468 Edinburgh Road, Middletown, PA 17057
Contact us at (717) 939-0235 or at church@gardenchapel.org
Garden Chapel's VBS 2018 -- Shipwrecked | Rescued by Jesus
Child's First & Last Name: *
Your answer
Boy or Girl? *
Birth Date: *
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Parent/Guardian's Full Name: *
Your answer
Home Address (Street, City, State, & Zip): *
Your answer
Parent/Guardian's Phone Number: *
Your answer
Grade Child Completed as of June 2018: *
Your answer
Current Church Attending:
Your answer
Does your child have any food allergies? If yes, please list them. If no, please indicate "none". *
Your answer
Who invited your child to VBS?
Your answer
I, parent/guardian, give Garden Chapel permission to use photos and videos that include my child in church and VBS publicity. Photos and Videos of VBS will be available on Garden Chapel's Facebook page at the end of the week. *
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