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Vacation Bible School 2017


  • Harvest Bible Chapel Decatur 2710 East Lost Bridge Road Decatur, IL, 62521 United States (map)
Childs Name *
Childs Name
Mailing Address
Mailing Address
Phone
Phone
Numbers needed for contact and or in case of emergency
Birth Date
Birth Date
List all individuals Who have permission to pick up the Child
List all individuals Who have permission to pick up the Child
Second person who has permission to pick up the child
Second person who has permission to pick up the child
May we have permission to take photographs *
T-Shirt Sizes (suggested Donation $5.00
Alternate Emergency Contact numbers
Alternate Emergency Contact numbers
Later Event: July 28
Harvest Women's Event