VBS 2019 Voyager Registration Form
VBS FAMILY FUN KICK OFF: July 7, 2019 ~ 5-7pm

VBS WEEK: July 8-12, 2019
9am – 12/noon
Potty-trained 3 year olds to 5th Graders
$10 per child

Child's Name: *
Your answer
Parent/Family/Guardian Name: *
Your answer
Address *
Your answer
E-mail Address: *
Your answer
Phone Numbers (Best contact number): *
Your answer
Child's Date of Birth: *
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DD
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YYYY
Last school grade completed: *
Your answer
Child's T-Shirt Size: *
Your answer
Home Church (if any) *
Your answer
Special Needs/Allergies/Medical Information/Other: *
Your answer
Emergency Contact: (Name/Phone Number) *
Your answer
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