Special Needs Vacation Bible School 2019

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For any child with special needs ages 4 years old to 10 years old

When: June 3rd - June 7th; 9:15 AM - 12:15 PM

Where: Grace Chapel Church of Christ
6755 Majors Road, Cumming, GA 30040
678.455.6845

Contact us at: BrightLightsMinistry@gmail.com

Grace Chapel cares for each participant in our Special Needs Vacation Bible School. The following questions are asked for the benefit of your child, and so we may provide the best experience and safest environment for everyone involved. Grace Chapel and our volunteers respect your family’s right to privacy. Any information shared from this form is communicated with those directly caring for your child and only on a “need to know” basis. Please answer the following questions that apply to your child and may help our church best minister to your child.

Email *

Child's First Name *

Child's Last Name *

Address

Child's age at time of VBS *

Child's Date of Birth *

YYYY

Child's Gender *

Male

Female

Parent/Guardian Name(s) *

Emergency Contact Information *

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