Harvest Community Church, Huntersville & Charlotte, North Carolina

Cosmic City - Explore the Awesome Wonder of God

July 14-18 9am - 12noon

Parent or Guardian

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*First Name
*First Name (spouse)
*Last Name
*Address Line 1
*Address Line 2
*City
*State		*Zip
*Email Address
*Phone		Phone Type
*Phone		Phone Type
*Neighborhood

*Number of children attending
*Church Affiliation	Yes No
* If Yes, Name of Church
*How did you hear about VBS?

Emergency Contact

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