Vacation Bible School 2011 Big Apple Adventure
July 24th-29th from 6:00 - 8:30 pm. (29th is Family Night)
Ages - 3 trhought completed Pre-K and Kindergarten through completion of 6th grade
 
 
* Child's First Name A value is required.Exceeded maximum number of characters.
* Child's Last Name A value is required.Exceeded maximum number of characters.
* Address1 A value is required.
  Address2
* City A value is required.
* State
* Zip A value is required.Invalid format.
* Home Phone Number
* Email A value is required.Invalid format.
* Child's Birth Date Month Day Year
* On July 11th 2010 what will be the last grade your child has completed in school Please select an item.
  What church do you attend?
  Do you go to Sunday school?
  Mother's name
  Mother's contact phone number or Cellular
  Father's name
  Father's contact phone number or Cellular
  Does child have any medical conditions or alergies that require special attention? If yes, explain:
     
  In the event of an emergency, who should be called?  
* Emergency contact name A value is required.
* Emergency contact phone A value is required.
     
* Do we have your permission to get emergency medical care for your child if neccessary? yes no
Please be patient, do not click 'Enroll Me' more than once.

 

9808 Kennebec Church Rd. Angier,  NC 27501  (919)639-4021  info@kennebecbaptist.org  -view map-

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