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scroll to VOLUNTEER

2024 BREAKER ROCK BEACH VBS

June 17-21 // 9AM-12PM
Child Registration Form

Child's First & Last Name

Child's Birthday

Choose completed grade

Primary Parent/Guardian First & Last Name

Primary Parent/Guardian Phone

Secondary Parent/Guardian First & Last Name

Email Address

Secondary Parent/Guardian Phone

Allergies/Medical Conditions

Any Authorized Pickups (beside parents)

Any Unauthorized Pickups

Thank you for registering. You'll hear from us soon!

Volunteer Sign Up

Sign Up to Serve

First name

Last name

Email

Phone Number

I have a child attending VBS

I have volunteered before

Special requests:

4010 Fambrough Drive
Powder Springs, GA 30127

Sunday 9 AM
Sunday 10 AM

Wednesday 7 PM

Saturday 6 PM

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