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2026 SUMMER VBS
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NBCC Summer VBS Registration:
Emerald Crossing

Register child/student by completing the form below.

Child Name

Grade Entering:

Add More Children?

Child Name

Child Name

Grade Entering

Grade Entering

Parent/Guardian

Phone #

Who Is Permitted to Pick Up Your Child?

Emergency Contact

Emergency Phone #

Food Allergies

Yes

No

Food Allergy Details:

Medical Concerns

Yes

No

Medical Concern Details:

📸 Photo & Video Permission

Photos and videos may be taken of participants for use on our Facebook page and other promotional materials. Please indicate your preference below:

Yes, I give permission for my child to be photographed and/or recorded and used by the church.

No, I do not give permission for my child to be photographed and/or recorded.

2231 Bingham Center Road, North Bingham, PA 16923

(814) 848-7591 | (716) 969-1591

Sunday Mornings

Sunday Worship Service: 10:30am

Children's Church: 11:00am

Sunday Nights

The Bridge Youth Group: 5 - 6:45pm

Check Out Our Weekly Community Groups

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