2024 VBS - Beatitude not a ME Attitude
Parker County Cowboy Church - 5050 FM 5 - Aledo, TX
July 27, 2024 ~ 9am-2pm
Lunch provided
4 years old through 6th grade
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child's Grade
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Emergency Contact
*
Name
Phone Number
Food Allergies?
Do you attend PCCC?
Yes
No
Name(s) and phone number(s) of person(s) who may pick up child.
*
PHOTOGRAPHY/VIDEO - I understand that any photography/video taken during the event may be used by PCCC staff for social media, website & Church announcement boards.
*
I understand
Signature
*
Name of person signing above
*
First Name
Last Name
Continue
Continue
Should be Empty: