VBS 2017 Registration Form
Online registration for Vacation Bible School at Corinth Baptist Church

(Please fill out one form for each child being registered)

Child's Name
First and last name
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Gender
Home Address
(please include city, state and zip code)
Your answer
Home Phone Number (please include area code)
ex. (804) 993-4290
Your answer
Child's Grade (as of September 2016)
(select one)
Does your child attend church?
If yes to the previous question, which church? (If no, please type NA)
Next
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