New Elizabeth AME Church's VBS 2018
If you are interested in your child(ren) attending VBS, please complete the following registration form:
Email address *
July 9th-12th 2018 6 p.m.-8 p.m.
Parent/Guardian's Name (first and last name) *
Your answer
Parent/Guardian's Cell Phone #
Your answer
Parent/Guardian's Email Address
Your answer
Child #1's Name (first and last) *
Your answer
Child #1's Age *
Your answer
Child #1's Date of Birth *
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DD
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YYYY
Child #1's Food Allergies *
Your answer
Child #2's Name (first and last)
Your answer
Child #2's Age
Your answer
Child #2's Date of Birth
MM
/
DD
/
YYYY
Child #2's Food Allergies
Your answer
Child #3's Name (first and last)
Your answer
Child #3's Age
Your answer
Child #3's Date of Birth
MM
/
DD
/
YYYY
Child #3's Food Allergies
Your answer
Will your child(ren) eat dinner at the church from 6-6:30 each day of VBS?
Check any or all of the following food items that your child(ren) will eat:
Are there any conflicts (other events, vacation, etc.) that might hinder your child(ren) from attending VBS for the entire week? If so, please explain.
Your answer
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