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Join Us!

June 3-5th, 9am-12pm

For children going into Kindergarten - 5th grade

Child's Name *
Child's Name
Parent or Gaurdian *
Parent or Gaurdian
Phone *
Phone
Home Address
Home Address
Gender *
You will need to fill out a registration form for each child.
Emergency Contact *
Emergency Contact
Phone *
Phone
List the names of those who have your permission to pick up your child by 12.00pm.
Permission to use your child's photograph in future VBS promotional material by Mountainside Church of Christ