VBS Registration TRC 2017
Please submit one form for each child
July 31-August 3, 6:00pm-8:15pm
Child's First Name
Your answer
Child's Last Name
Your answer
Child's Age as of 7/31/17
Your answer
Grade Entering Fall of 2017
Friend Request
Your answer
Allergies or Medical Information
Your answer
Would you like your child placed in a Spanish-speaking group if space is available? (child should be fluent or mostly fluent in Spanish)
Parents' Names and Phone Numbers
Your answer
Additional Emergency Contacts--Names and Numbers
Your answer
Home Address
Your answer
Email Address
Your answer
Home Church
Who will be picking up the child? (child over 12, grandparent, friend, etc.) Please indicate name in "other" choice.
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