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VACATION BIBLE SCHOOL

Richland Road Church of Christ

"The Greatest Show On Earth"

VBS Registration Form

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Name:______________________________________________ Parent’s Name:_______________________________________ Address:___________________________________________ City: __________________    St:_____ Zip: ________    Home Ph:_______________        Emergency Ph:______________ Church usually attended:__________________________________________________ Grade (K-8):__________ Preschool: _______yrs Friend your child would like to be placed with: Name:__________________________________________     Grade:_____ Health/Allergy Concerns: _____________________________________________________________ During VBS, Parent Will (check 1)         Attend Adult Class ___   Help With VBS ___   Return By 8:45 PM____ Who Will Pick Up Child? _________________________________________________ For more information call 740-389-1017