VBS REGISTRATION 2019
Email address *
Child's Name *
Your answer
Child's Age *
Your answer
Child's Grade Completed *
Child's Date Of Birth *
MM
/
DD
/
YYYY
Last School Grade Completed
Your answer
Name of parent(s)/guardian(s) *
Your answer
Street Address/Mailing Address *
Your answer
Parent/guardian cellphone (1) *
Your answer
Parent/guardian cellphone (2)
Your answer
Home Church (If applicable)
Your answer
Names of Child’s friends who are also attending?
Your answer
Names of Child’s friends who are also attending?
Your answer
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