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scroll to VOLUNTEER

2024 BREAKER ROCK BEACH VBS

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

Child's Name

Child's Birthday

Choose completed grade

Address

Email Address

Parent's Names

Parent's Phone

Alternate Guardian's Phone

Allergies/Health Conditions

Any Authorized Pickups (beside parents)

Any Unauthorized Pickups

Check the box if you are interested in volunteering for VBS week.

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

4010 Fambrough Drive
Powder Springs, GA 30127

Sunday 9 AM
Sunday 10 AM

Wednesday 7 PM

Saturday 6 PM

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