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VBS Registration

August 12 -14, 2025

1 pm - 4 pm

Child's First Name

Child's Last Name

Child's age

School Grade ths fall

Parent/Guardian name

Phone Number

Email

Medical Conditions

Food allergies

Who is authorized to pick the child up?

Any other information

Thanks for submitting!

Clinton Community Bible Church
9635 Clown Lane
Clinton, MT 59825
clintoncommunitychurchmt@gmail.com

Pastor Gary Evans
(406) 481-4333
PastorGaryCCBC@gmail.com

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