2017 VBS Registration
Email address *
Child's Name *
Your answer
Current Address *
Your answer
Phone No. *
Your answer
Parent/Legal Guardian *
Your answer
Does your child have any allergies or previous medical conditions that the PHBC Staff should be aware of?
Your answer
Age *
Your answer
Grade completed *
Your answer
Where does your child currently attend church? *
Your answer
How did you hear about this event? *
Your answer
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