Team creation Vacation BIble School

Registration Form

One Per Child
Child First Name
Date of Birth
Child Last Name
Last Grade Comple
Age
Allergies or Other Medical Conditions
Parent First Name
Parent Last Name
Street Address
City
State
Zip
Home Phone
Parent Cell Phone
Home E-mail Address
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Phone
Relationship to Child
Home Church
OUR MISSION

To communicate the life-changing power of the gospel of the kingdom of God to all people groups in Harford County, to equip the people of God for ministry, and to make disciples of Christ.  We accomplish this through the four pillars of our ministry: Deliverance, Worship, Discipleship and the Preparation for the Second Coming of Christ.

CONTACT INFO

Phone:  (410) 417-8843

Address:

1980 Trimble Road
Edgewood, MD 21040

 

Email: info@crown-of-life.org

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