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VBS Breaker Rock Beach Registration Form
Please fill out the following information to register your child for the 2024 VBS Breaker Rock Beach at Mullins First Baptist Church from June 9, 2024 thru June 13, 2024.
Child's Information:
Child's Full Name:
Child's Address:
Age:
Gender:
Date of Birth:
Grade (Completed):
Allergies or Medical Conditions (if any):
* Parent/Guardian Information:
Parent/Guardian Full Name:
Relationship to Child:
Contact Phone Number:
Email Address:
* Emergency Contact Information:
Emergency Contact Full Name:
Relationship to Child:
Contact Phone Number:
*Permissions:
I hereby give permission for to participate in the VBS Breaker Rock Beach event at Mullins First Baptist Church.
Parent/Guardian Signature:
Date:
I hereby give permission for to photographed or videoed in the VBS Breaker Rock Beach event at Mullins First Baptist Church.
Parent/Guardian Signature:
Date:
Thank you for registering!
Victory Sports Camp Form
Please print this form and mail it, or drop it off at Mullins First Baptist Church
Once Upon a Time Camp
Please fill out the following information to register your child for Once Upon a Time Camp at Mullins First Baptist Church from June 24, 2024, thru June 27, 2024.
Child's Information:
Child's Full Name:
Child's Address:
Age:
Gender:
Date of Birth:
Grade (Completed):
Allergies or Medical Conditions (if any):
* Parent/Guardian Information:
Parent/Guardian Full Name:
Relationship to Child:
Contact Phone Number:
Email Address:
* Emergency Contact Information:
Emergency Contact Full Name:
Relationship to Child:
Contact Phone Number:
*Permissions:
I hereby give permission for
to participate in Once Upon a Time Camp event at Mullins First Baptist Church
Parent/Guardian Signature:
Date:
I hereby give permission for
to be photographed or videoed in Once Upon a Time Camp event at Mullins First Baptist Church
Parent/Guardian Signature:
Date:
Please contact Gwen Poffenberger for questions at (843) 464-8236. Make checks payable to Mullins First Baptist and return to:
Once Upon a Time Camp
c/o Mullins First Baptist Church
P.O. Box 443 Mullins, SC 29574
Thank you for registering!
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