Bushkill Community Church - A Family Friendly Evangelical Church in the Poconos. Kids' Ministries!  341 Groups.  Sermons and Recordings.  Our Community.  Bushkill Falls - Main Falls.  
 

Hallelujah Party

Saturday, October 31st - 6-8 P.M.
Bushkill Fire House
Ages 3 to 5th Grade

Child Information First Name:      Last Name:

Age:      Grade:

Parents Information Mother's First Name:

Mother's Last Name:

Father's First Name:

Father's Last Name:

Address And Contact Information Street Address:

City:      State:      Zip:

Email:

Home Phone:   -    -  

 Work Phone:   -    -  

    Cell Phone:   -    -  

Pick Up Information If someone other than the parents will be picking up the child after VBS, please give us their name.

Pick-up Person's First Name:

Pick-up Person's Last Name:

Medical/Allergy Information Are there any allergies (such as specific foods or bee stings) or medical conditions that we should be aware of? (please explain)



Cost: 1 bag of candy per child
No SCARY costumes allowed
Call 588-6998 for more info

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