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Join us for Vacation Bible School!
June 26th starting at 6pm
June 27th at 10:30am-4pm
(Tweens and Teens are invited for an overnight stay)

Registration Form

(One Per Child)

For any questions, contact Dana at 317-294-2992.

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?

Screenshot 2026-05-28 101118_edited.jpg

Screenshot 2026-05-28 101118_edited.jpg

Brooklyn Christian Church Disciples of Christ

Address:
7 South Church Street, Brooklyn, Indiana

Church Phone Number:
(317) 831-3741

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