Youth VBS Registration Form 2021
This form is for students in 7th - 12th grades. VBS is June 27-30, 6:30 - 8 p.m.
Name:
Grade entering in Fall 2021 and Birthdate:
Student's Address:
Allergies or other medical information we need to know:
Parent's Names, Address, email, and best phone number for contact:
Emergency Contact Name and Phone Number (if not parent):
Who may pick up student other than Parent?
If your student is visiting our church, how did you hear about our VBS?
What size Tshirt does student wear?
Clear selection
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