Vacation Bible School

When: June 25-29, 2023

Where: York Adventist Christian School Gym
Directions

Time: 6:00-8:30 p.m.

Who: ages 5 though 12

Registration Form

*required field

Child's Name

Gender

Male Female

Birthdate

Grade Completed

Address

Parents/Guardian

Home Phone

Work Phone

Cell Phone

Emergency Contact & Phone

Relationship to Child

Please place my child with

Name of home church

List all food allergies

List/explain all medical concerns

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