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2026 VBS Registration

Emerald Crossing

Child Name

Grade Entering

Add more children?

Parent/Guardian

Phone #

Who is Permitted to Pick Up Your Child?

Emergency Contact

Emergency Phone #

Food Allergies

YES

NO

Medical Concerns

YES

NO

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, YES, 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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