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Please Note that Registration Forms

Must Be Completed For Each Participant

Contact Information

Please Indicate Your Church Affiliation
Bethel BC
Ebenezer BC
Mount Carmel BC
No Church Affiliation
Other

Participant Information

Emergency Contacts

Pickup & Transportation

Please indicate anyone you authorize to pick up Participant other than the parent

Is Transportation Needed For Attendee?
Yes
No

By selecting the “Submit” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “Submit” using any device, means, or action, I consent to the legally registering for Vacation Bible School 2024. I further agree that my digital signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor’s parent or legal guardian.

Today's Date

For Any Questions Please Contact: Dr. Robin Eubanks - 973-704-8333

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