PBC VBS Registration 2019
VBS @Princeton Bible Church
June 9-13, 2018
6-8:30pm
Ages 4 (FULLY POTTY TRAINED, please. No pull-ups) - 6th grade
Email address *
The Incredible Race!
Registration is free. Optional theme shirt $5, music CD $2
Child's Name *
Your answer
Gender *
Birthdate *
MM
/
DD
/
YYYY
Grade Completed *
Address *
Your answer
Parents/Guardian *
Your answer
Phone (Home/cell/work) *
Your answer
Emergency Contact: (Relationship to Child, Phone) *
Your answer
Name of home church
Your answer
Food allergies (please list)
Your answer
Medical concerns (explain)
Your answer
Any other concerns or comments, please note here:
Your answer
Optional Music CD for $2?
Would you like a Theme T-shirt for $5? (If yes, please indicate child's size)
Submit
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