VBS 2018 Registration: GAME ON!
Please fill out the following form to register your child for VBS 2018 hosted by Christ Central Presbyterian Church and Korean Central Presbyterian Church. The form must be completed for EACH child attending.

Dates & Times:
June 21-23, 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 costs are waived for new visitors to CCPC/KCPC for VBS 2018.
*There will be no day-of registration.*

Questions? Contact Director Eun-Sook Yu at eunsookyu@gmail.com.

Email address *
Parent 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 *
Media Waiver *
Payment Information
MAIL TO: CCPC (c/o Eun Sook Yu Park), 50 Northridge Drive, Daly City 94015
IN-PERSON TO: CCPC Education Directors Eun Sook Yu Park, Jane Lee, or Grace Chang or KCPC Pastor Paul
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