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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 participate 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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