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FAMILY INFORMATION

CHILD INFORMATION

EMERGENCY CONTACT

AVAILABLE TO VOLUNTEER

MEDIA PERMISSION

I give my permission for my child(ren)'s picture to appear on the OLPH website, bulletin boards, and/or newspaper articles in relation to events that occur at VBS.

PAYMENT INFORMATION

VBS fees are $15 per child with a $45 maximum family fee.

Please make your check payable to OLPH and place it in an envelope marked VBS. Checks can be placed in the second collection box in the church commons or mailed to OLPH, 314 Turner Road, Salem, VA 24153.

Contact Barbara Hairfield at [email protected] or call 540-387-0491 if financial assistance is needed.