VBS Registration 2019
*PLEASE COMPLETE ONE FORM PER CHILD*

When: Monday July 29- Tuesday August 2 from 9 AM-Noon
Who: 4 year old preschoolers-students entering 6th grade
Location: Mayfield Church 7747 Mayfield Rd. Chesterland, OH 44026

Email address *
Child's Name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Last Grade Completed *
Your answer
Gender *
Emergency contact name, relationship to child, and phone number *
Your answer
Second emergency contact name, relationship to child, and phone number *
Your answer
Parent Email Address *
Your answer
Is Mayfield Church your home church? *
Child's allergies or other medical conditions we should know about
Your answer
Is there a friend your child would like to be in a crew with?
Your answer
Child's T-shirt size *
I understand that the registration fee is $30/ child or $60 max/ family. Payments can be made online at mayfieldchurch.org > Give > VBS. OR A check can be made out to Mayfield Church with VBS in the memo. *
Any other comments or questions?
Your answer
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