Hudson
Presbyterian Church201 W. Streetsboro Street, Hudson, OH 44236
Phone: 330.650.1626 Fax: 330.342.5708
Email: snorman@hudsonpc.org
Vacation Bible School Registration
Name ________________________________________
Birthdate __________________
Street address
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City _____________________________ State _______ Zip ____________
Home phone (_______) _________________
Cell phone (_______)_________________
E-mail _______________________________
Parent(s) name(s) ____________________________________________________________
Parent(s) work phone(s) (_______) _________________
In case of emergency, contact
__________________________________________________
Allergies or other medical conditions
____________________________________________
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School grade just completed __________
Name of home church, if any ___________________________________________