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Vacation Bible School Registration form

Please fill out the form below.  

Thank you and May God continue to bless you. Hope to see you soon.

Parent's Name / Child(ren) Name*

Address

City

State

Zip Code

Contact Phone #

Email Address*

Child(ren) Birthday and Child(ren) Grade*

Allergies

Emergency contact # (other than parent)

Volunteers and Interested Visitors

fill out form below

Thank you and God bless you

First Name:*

Last Name:*

Company:

Email:*

Phone:

Address 1:

City:

State:

Zip:

Comments:*

Pastor:

Dr. Connie F. Smith


Address:

1480 N. Tuckahoe Rd.

Williamstown, NJ 08094


Telephone & Fax#:

856-629-4646

609-504-1763

1-800-886-1719 fax

FIND US HERE

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