VBS Participant registration
Dates/Time: July 16-20th 6-8:30pm
Address: Siler Presbyterian Church 6301 Weddington Monroe Rd. Wesley Chapel, NC
Contact us at (704) 821-7445 or children@silerchurch.org
Parent First Name
Your answer
Parent Last Name
Your answer
Email
Your answer
Phone Number
Your answer
Address
Your answer
Name of Emergency Contact/Alternate Pick Up 1
Your answer
Phone number of Emergency Contact/Alternate Pick Up 1
Your answer
Name of Emergency Contact/Alternate Pick Up 2
Your answer
Phone number of Emergency Contact/Alternate Pick Up 2
Your answer
Name of church you attend
Your answer
May we take pictures of your child?
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