VBS 2018 Registration - Newberg Church of Christ
Register your child for Vacation Bible School, June 20-23!
Child's Name *
Your answer
Child's Gender *
Child's Age *
Your answer
Child's date of birth *
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/
DD
/
YYYY
Last grade of school completed: *
Your answer
Name of Parent(s) *
Your answer
Street Address, City, State, Zip *
Your answer
Home Telephone *
Your answer
Parent's Cellphone *
Your answer
Primary Email Address *
Your answer
Home Church, if applicable
Your answer
Allergies or other Medical Concerns *
Your answer
Any Food Allergies?
Your answer
In case of emergency, contact: (name) *
Your answer
In case of emergency, contact: (phone number) *
Your answer
In case of emergency, contact: (relationship to child) *
Your answer
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