Vacation Bible School Manassas COC
Child Registration
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Thank you for your interest in Manassas Church of Christ’s VBS! Please complete and submit a form for each child you wish to register.
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Child’s First and Last Name *
Child’s Age *
Child’s Birthday *
Last Elementary grade completed (2021-2022) *
Guardian 1’s Name *
Guardian 1’s Phone Number *
Guardian 2’s Name *
Guardian 2’s Phone Number *
Emergency Contact Name (Other than Guardian 1 & 2) *
Emergency Contact Phone Number *
Additional authorized drop off/ pick up Name
Additional authorized drop off/ pick up’s Phone Number
Name of Church you currently attend, if any?
Medical needs or Allergies? *
How did you hear about our VBS? *
Reminder: VBS is Thursday 8/4 and Friday 8/5 from 6:30-8:00pm and Saturday 8/6 from 10-11:30am. Please pick up your child promptly at the conclusion of the event each day. There is also an adult class offered from 6:30-7:30pm (Thurs/Fri) and 10-11am (Sat) in the main auditorium. Please email Alex Anglin at if you have any questions. Thank you for registering!
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