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VBS REGISTRATION

JUNE 19TH - 23RD

Please register each child individually.

Feel free to call or email with questions or concerns

Phone

(757) 549-2228

Email

gcc.chesapeake@gmail.com

Child's First Name

Child's Last Name

Age

Grade Going Into:

Parent/Guardian's First Name

Parent/Guardian's Last Name

Phone

Email

Emergency Contact's Name

Emergency Contact #

Allergies/Dietary Restrictions:

I agree to give Grace Community Church permission to take photos and post photos on the church website and/or social media.

Thank you for registering!

QUICK LINKS

CONTACT US

Books by Pastor

Office: (757) 549-2228

Email:

gcc.chesapeake@gmail.com

Address:
872 Clearfield Avenue
Chesapeake VA 23320

© 1990 Grace Community Church

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