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Palmyra Moravian Church
1921 Cinnaminson Avenue, Cinnaminson, NJ 08077
~ VBS Registration ~
Child's Name:
Parent's Name:
Home/Cell#:
Street Address:
City:
Child's Age:
Grade Going Into:
Do you have a church you are currently attending?:
Name of Church:
Emergency Contact:
Emergency Phone:
Food Allergies, etc:
Who is permitted to pick up your child(ren) if you are unable:
His/Her Telephone:
*No registration fee*

*A freewill offering will be taken daily*

Parent's Night Program will be held Thursday, July 22th at 7:00pm

Questions: Call 786-2280, 829-0913, or contact the church


Registration Form