VBS Sign-up Name of Guardians Please enter your name. Name of Children and Their Ages Please enter a subject. Emergency Contact Number Please enter a valid phone number. Additional Information: Do we have permission to film/photograph your child, any allergies a child may have, any other information. Please enter a message. Sign Up Message failed. Please try again. See you at Breaker Rock Beach This Summer at New Palestine Baptist Church!!!July 21-24, 5:30 to 8pm
