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VBS Registration Form
2018 VBS *******Please fill out one for EACH child
Email address *
Child's Name *
Your answer
Child's Gender
Child's Age
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Last grade completed *
Parent/Guardian's Name(s) *
Your answer
Complete Address *
Your answer
Phone number (home) & Mobile number *
Your answer
Home church
Your answer
Would you like more information about attending Conway Alliance Church?
Emergency Information - Allergy information
Your answer
Emergency Information - In Case of Emergency Contact Person and Phone number; relationship to child. *
Your answer
Additional important information; custody information, authorized persons to pick up your child other than yourself, or any additional information.
Your answer
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