VBS 2024 | Pleasant View

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VBS 2024 - JUNE 3 - 7

Register Below! (One Form Per Child)

First & Last Name

Child's Gender

Boy

Girl

Child's Birthday

Name of Parent(s) / Caregiver(s)

Home Church

Parent / Caregiver's Phone # (Will use as emergency contact.)

Email

Allergies, Medical Conditions, or Special Needs

Pick up Info (list names of individuals who will be picking up child)

Thank you for registering!

Contact US

Location Address: 2243 S 426 Rd Pryor, OK 74361

Mailing Adress: PO Box 111 Pryor, OK 74361

Call: (918) 825-4943

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