The Presbyterian Church of Coventry
Emerald Crossing - VBS 2026
Monday, August 3rd to Friday, August 7th
Child Registration
*
Any Allergies?
Will they have an Epi-Pen with them?
Yes
No
Address?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you looking for a church home?
Yes!
No, I already have a church home
I'd like to learn more about PCC
No, thank you
Any additional information we'll need to know?
Signature
*
Submit
Submit
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