tn Hudson Presbyterian Church

201 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

____________________________________________
___________________________________________________________________


School grade just completed __________

Name of home church, if any ___________________________________________