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Experience and Discover God Everywhere

Vacation Bible School
REGISTRATION FORM
LAKE ARROWHEAD COMMUNITY  PRESBYTERIAN CHURCH
351 S. St Hwy 173
June 22nd through June 26th 

  
A value is required.  
Child's Name
Parent's Name
Mailing Address
Physical Address
Email Address
Home Phone
Work Phone
Cell Phone
Child's Date of Birth
 
Age  
Last School Grade Completed
Home Church
Allergies/Medical Information
Emergency Contacts: Name
  Name
Phone
Phone

List name of persons who may pick up this child from VBS each day:

List name of friends that child may want to be grouped with:

            

$6.00 Tuition and $6.00 for Tee-Shirt   Tee-Shirt Size:  Child  Adult  
Fees to be paid : cash check    (Due on first day of VBS)
Scholarships available please contact the church for more information. 

LAKE ARROWHEAD COMMUNITY  PRESBYTERIAN CHURCH

351 So. State Hwy 173, P.O. Box 340
Lake Arrowhead, CA 92352
909-336-1502
http://www.cpcla.net