VBS 2017 Registration: Galactic Starveyors
Please fill out the following form to register your child for VBS 2017 at Christ Central Presbyterian Church/Korean Central Presbyterian Church. The form must be completed for each that will attend.

Dates & Times:
June 22-24, 9am-3pm

Early registration (May 1-May 31):
$25/child (for families with 3 or more children)

Late registration (June 1-10):
$35/child (for families with 3 or more children)

Registration CLOSES on Monday June 8th. There will be no day-of registration.

Please submit payments in person to Education Department Directors (Eun-Sook Yu, Jane Lee, or Grace Chang) on Sundays or mail to: Christ Central Presbyterian Church, ATTN: Eun-Sook Yu (VBS), 50 Northridge Drive, Daly City, CA 94015.

Registration costs are waived for new visitors to CCPC/KCPC for VBS 2017.
Questions? Contact Director Eun-Sook Yu at eunsookyu@gmail.com.

Email address
Parent/Guardian Name (first, last)
Your answer
Cell Phone
Your answer
Work/Home/Other Phone
Your answer
Mailing Address
Your answer
Health Insurance Provider
Policy/Group Number
Your answer
Authorization for Treatment
Payment Information
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