VBS Child registration: Ages 3-12
Address: 2755 Rosstown Rd, Wellsville, PA 17365 More Info at pinchotparkag.com
Child's Name
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Child's age
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Child's Allergy's
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Please list any medical conditions your child has that we should be aware of.
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Parents' Names
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Parents' Contact Numbers
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Parents' Address
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Parents' Emails
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Lastly we need to know who will be picking up the child
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Thank you for allowing your child to participate in Vacation Bible School at Pinchot Park Assembly of God. During VBS, photos and videos may be taken of children participating in worship, Bible lessons, games, crafts, and other activities. With your permission, these images and recordings may be used by Pinchot Park Assembly of God for ministry and promotional purposes.
and finally what nights will your child be attending
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Day 1
Day 2
Day 3
Day 4
Day 5
All of them
Submit
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