Bethlehem United Church of Christ

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Please fill in the information below and check the event(s) your child will attend.

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Vacation Bible School

Parent/Guardian Name *

E-mail address *

Child's Name(s) *

Child's Age(s) *

Child's Grade(s) - fall of '22 *

Nights your child(ren) can attend? Note: Thursday night is the performance. *

Dietary Restrictions/Considerations

please list

Street Address *

City, State and Zip Code *

Nursery Care (name(s) and ages for VBS volunteers)

Church Home

New to Bethlehem UCC?

Emergency Contact Name *

Emergency Contact Cell Phone *

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