Vacation Bible School Aug. 25, 26, 27 5:30 PM - 8:00 PM
Vacation Bible School Aug. 25, 26, 27 5:30 PM - 8:00 PM
Registration Form
Parent / Guardian name: _______________________________________
*Email address: ______________________________________________
*Phone number: ____________ *Child's age 5 6 7 8 9 10 11 12
Child's name: ________________________________________________
Will your family join us for the free light meal at 5:30 PM?
Yes, we'll be there! No, we'll arrive at 6:00 PM Not sure yet
🔒Authorized Pickup: _______________________________________
We will only release your child to the registered parent/guardian
or the person listed here.
📷Photo Permission Yes No Post Photo: Yes No
You may answer these questions differently.
Saying "No" to online posting will not affect your child's participation.
Anything we should know? (allergies, special needs, questions)
________________________________________________________
________________________________________________________
Field Name
Send

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Sundays, 10:15 am
3640 Seneca Turnpike, Canastota, New York 13032, United States
Phone Number: (315) 875-3367
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