Bethlehem Presbyterian Church Vacation Bible School 2019
Dates: July 8-12
Time: 9am-noon

*Please submit a form for each child.

Registration Fees (Due on opening day):
$25 for the 1st child
$15 for the 2nd child
$10 for the 3rd child
4th child (and beyond): Free

*Please note that we take pictures each day. These photos may be used in daily slide shows and/or posted on our church website.*
Email address *
Parent Name *
Phone Number *
Emergency Contact (besides parent) *
Emergency Contact Phone # *
Name of Child *
Age of Child *
Grade COMPLETED *
T-Shirt Size *
If youth size, please specify with Y
Does your child have any food allergies? Please list
A copy of your responses will be emailed to the address you provided.
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