2009 VBS Registration

Please enter the following information to register your child for Vacation Bible School at Southside Church of Christ July 6-9, 2009:

Childs Name (first and last name)
Grade Child has just finished
Birthdate (mm/dd/yy)
Parents's Name
Contact Phone Number During VBS
Email Address
Foor Allergies or other Medical Information



Southside Church of Christ
529 Country Club Lane
Hopkinsville, KY 42240

Phone: 270-885-8392
Fax: 270-885-7615
Email southsidecoc@hesenergy.net


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