VBS Registration

Keepers of the Kingdom
For children 4 years – 6th grade
When: July 16-20 from 6:00 - 8:30, program on July 21st at 6:00
Where: Community of Hope Church of the Nazarene
16549 Johnson Rd, Brainerd, MN
Contact Pastor Julie for more information: pastorjulie.coh@gmail.com

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Child's Name *

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Last

Grade *

Allergies or medical concerns *

Birthdate *

Child's Name *

First

Last

Grade *

Allergies or medical concerns *

Birthdate *

Child's Name *

First

Last

Grade *

Allergies or medical concerns *

Child's Name *

First

Last

Birthdate *

Grade *

Allergies or medical concerns *

Child's Name *

First

Last

Allergies or medical concerns *

Birthdate *

Grade *

Birthdate *

Parent's name *

First

Last

Home Church *

Mailing Address *

City, State and Zip Code *

Phone Number *

Parent's Email *

Emergency Contact and phone number *

I give Community of Hope Church of the Nazarene in Brainerd permission to use my child in a photo for promotional purposes. *

Yes No

We would like to buy a Keepers of the Kingdom music CD for $2. *

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