Registration Form

Henderson First Assembly
A form for each child will need to be filled out. Thank You.
Child's Name *
Child's Age *
Address *
Phone: *
Name & number of those authorized to pick up: *
Leave Blank for No Know Allergies or No Concern
Tshirt size ($10): youth or adult
must pay by May 27th to guarantee Shirt
Clear selection
Doors open at 5:45 PM for VBS The Incredible Race
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