VBS is coming! Register now & get a free gift when you come!
Monday, July 9th, 2018 - Friday, July 13th, 2018 9 - Noon
Gospel Lighthouse Church, 30 La Cross Street, Hudson Falls, NY 12839
Directions: https://goo.gl/maps/wTYMmiK1QC72

Please fill out a registration form for each child attending, Thank You!
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Child's Name: *

 
{{answer_qUwqwVM8rOfI}} Gender *


 
{{answer_qUwqwVM8rOfI}} Age *

 
{{answer_qUwqwVM8rOfI}}Date Of Birth: *

 
{{answer_qUwqwVM8rOfI}} Last School Grade Completed: *

 
Name of Parent(s): *

 
Home Address: *

 
Home Telephone:

 
Parent/Caregiver's Cell Phone *

 
Home Church:

 
Does {{answer_qUwqwVM8rOfI}} Have Any Allergies or Medical Condition? If Yes, What? *

 
In Case Of Emergency:

Please include the Contact, Phone #, and relationship to {{answer_qUwqwVM8rOfI}}
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