7/17 to 7/20      5:30pm - 8:00pm

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All children between the ages of 5 - 12 are welcome at Bethel's VBS!
Parents are encouraged and welcome to stay, especially with younger 
ones.  Pre-registration is not necessary, but you will need to fill out a 
form on the first night.                 Can't wait to see everybody!!!!!!!!!

Bethel Presbyterian Church

300 Knox Rd.

McLeansville, NC 27301


 July 17 – July 20, 2023

5:30 pm – 8:00 pm


Child’s Name ___________________________________________________________________________

Child’s Age ________         Child’s Birth Date ________________           Child’s Grade __________________

Parent/Guardian Name(s) __________________________________________________________________

Home Phone _______________  Work Phone ________________      Mobile __________________________      Email ________________________________________ Preferred Contact Method _____________________


Emergency Contact 1 _________________________________________ Phone _______________________

Emergency Contact 2 _________________________________________ Phone _______________________

Allergies or Special Needs __________________________________________________________________


Parent/Guardian Signature _________________________________________   Date __________________