Love, Joy, Peace...
Hebron Church Of Hope
SCUBA VBS 2024 registration
Child Name (
Required
)
Child Age (
Required
)
Child Birthday
January
February
March
April
May
June
July
August
September
October
November
December
Name of Parent(s) (
Required
)
Is this person the emergency contact? (
Required
)
Yes
No
If no, please list emergency contact and phone number
Address (
Required
)
Street address, City, State, Zip code
Parent(s) phone number (
Required
)
Email address
Does this child have allergies, medical conditions or special needs? (
Required
)
Yes
No
If yes, please explain
Home church
Submit
Hebron Church Of Hope
1 Main Street, Hebron, CT 06248
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