430 Edgewood Road Beaver Falls PA 15010
724-843-2889
office@edgewood-church.com

Edgewood Church

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VBS 2025

Edgewood Church 2025 True North VBS

June 1st – 3pm-5:30pm
June 2nd – 6:15pm-8:30pm
June 3rd – 6:15pm-8:30pm
June 4th – 6:15pm-8:30pm
June 5th – 6:15pm-8:30pm

Volunteers - Rock the Lake | Aug 7, 2021 | Lakeview, OH

Fill out the form below to register your child for VBS

Children must be at least 3 years old and potty trained. And No older than 5th Grade.

Please enable JavaScript in your browser to complete this form.

Child's Name *

First

Last

Childs Gender

Male
Female

Date of Birth *

Current Age *

Last School Grade Completed *

Guardian Name(s) *

First

Last

Guardian Cell Phone #

Guardian Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Allergies / Medical Conditions / Special Needs *

Emergency Contact

Same As Parent/Guardian Above
Different ( Continue with section below )

Emergency Contact

First

Last

Emergency Contact Phone#

Would You Like to add another Child? *

Yes
No

2nd Child's Name *

First

Last

2nd Child's Gender

Male
Female

2nd Child's Date of Birth *

2nd Child's Current Age *

2nd Child's Last School Grade Completed *

2nd Child's – Allergies / Medical Conditions / Special Needs *

Would You Like to add another Child? *

Yes
No

3rd Child's Name *

First

Last

3rd Child's Gender

Male
Female

3rd Child's Date of Birth *

3rd Child's Current Age *

3rd Child's Last School Grade Completed *

3rd Child's – Allergies / Medical Conditions / Special Needs *

Would You Like to add another Child? *

Yes
No

4th Child's Name *

First

Last

4th Child's Gender

Male
Female

4th Child's Date of Birth *

4th Child's Current Age *

4th Child's Last School Grade Completed *

4th Child's – Allergies / Medical Conditions / Special Needs *

Would You Like to add another Child? *

Yes
No

5th Child's Name *

First

Last

5th Child's Gender

Male
Female

5th Child's Date of Birth *

5th Child's Current Age *

5th Child's Last School Grade Completed *

5th Child's – Allergies / Medical Conditions / Special Needs *

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Address

Edgewood Church
430 Edgewood Road
Beaver Falls, PA 15010
phone | 724-843-2889 |

Address

Edgewood Church
430 Edgewood Road
Beaver Falls, PA 15010
phone | 724-843-2889 |

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