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Park Presbyterian Church

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VBS 2024 insert name here

Register your child for insert name here using the form below.

Register here!

Child's Name

Parent/Guardian name

Email

Phone

Address

Age

Last school grade completed

Home Church

Emergency contact 1 (Name, Phone#, Relation to Child)

Emergency contact 2 (Name, Phone#, Relation to Child)

Allergies/Medical Information (include food allergies)

Name of person who may pick up this child from VBS

Do the three churches (Park Presbyterian, St. Paul's ELCA, and 1st United Methodist) have permission to use images of your child taken during VBS? This would include things like the church newsletter and website. *

Yes

No

Any Additional Comments?

Thanks for registering. See you there!

Park Presbyterian Church

815-673-1526

office@parkpresby.org

201 North Vermillion St.

Streator, IL, 61364

Hours: M-Th 9am to noon

Copyright Park Presbyterian church 2024| Designed by Intrepid Media

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