South Hills Community Baptist Church South Hills Community Baptist Church
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SHCBC VBS Registration Form (2008) - Jerusalem Marketplace

Saturday, October 25th, 2008 - 9:00AM to 3:00PM - Ages 2-100

This Year's Theme | This Year's Song List

Please complete and submit one form for each family that will be attending this event.

Family Last Name:

Family Member #1:

Age: 

Date of Birth: 

Family Member #2:

Age: 

Date of Birth: 

Family Member #3:

Age: 

Date of Birth: 

Family Member #4:

Age: 

Date of Birth: 

Family Member #5:

Age: 

Date of Birth: 

Family Member #6:

Age: 

Date of Birth: 

Family Member #7:

Age: 

Date of Birth: 

Street Address:

City:

State:

Zip Code:

Home Phone #:

Cell Phone #:

Email Address:

Home Church:

May we include your family on our online VBS Picture Gallery?  

Please list any allergies, medical conditions, special needs or additional comments below:

  
Come and Worship with Us!
South Hills Community Baptist Church
2400 Old Washington Road • Upper St. Clair, Pennsylvania • 15241-2537 • 412-833-1313