Contact Us

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1455 Tucker Rd
Hood River, OR, 97031
United States

Tucker Road Baptist Church

VBS Registration

Child's Name *
Child's Name
Address *
Address
Home Phone
Home Phone
Cell Number
Cell Number
Work Number
Work Number
Age Information
Birth Date *
Birth Date
Medical Information
If none please put N/A
Emergency Contacts
Name 1 *
Name 1
Phone # *
Phone #
Name 2
Name 2
Phone #
Phone #
Dismissal Information
Other Information
May we have permission to photograph your child *
May we have permission to use your child's photograph for the purpose of promotion? *