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Join us for Vacation Bible School June 5th-8th!

June 5-6: 6-8:30pm

June 7: 10am-2pm

June 8: Sunday Celebration during Church Service

Registration Form

(One Per Child)

For any questions, contact Dana at 317-294-2992. We will send out registration confirmations, along with additional information, the week before VBS begins.

We can't wait to see you!

Child's Name*

Child's Birthday*

Month

Day

Year

Last School Grade Completed*

Parent/Guardian First Name*

Parent/Guardian Last name*

Street Address*

City*

State*

ZIP*

Home Phone

Parent/Guardian's Cell Phone*

Email*

Home Church*

Allergies or other medical conditions*

In case of emergency, contact*

In case of emergency phone*

Relationship to child*

If we capture a picture of your child, is it okay to post it to our Facebook page?

Brooklyn Christian Church Disciples of Christ

Address:
7 South Church Street, Brooklyn, Indiana

Church Phone Number:
(317) 831-3741

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