Faith Fellowship Cumberland Presbyterian Church
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Registration for Vacation Bible School
Faith Fellowship Cumberland Presbyterian Church
July 15-18
6:30 - 8:45 pm
Please complete the form below for each child and hit the button at the bottom to Submit Registration Form when you are finished.
*
Indicates required field
Name of Child
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First
Last
Date of Birth
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Grade Completed
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Siblings Attending? Please include their names and ages.
*
Please include their names and ages on the line below
Parent/Guardian
*
First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone No
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Cell Phone No
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Email
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Emergency Contact Name
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First
Last
Emergency Contact Phone Number
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Special Needs/Allergies/Other Concerns
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Is there a friend your child would like to be with? If so, please share first and last name.
*
Submit Registration Form