MSCCC VBS Youth Registration Form
Morning Star Community Christian Center

2018 Vacation Bible School

July 16th - July 20th, 7 PM to 9 PM

Please fill out all of the required fields below.

First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Home Church
Your answer
Age *
Your answer
Grade last completed *
Your answer
Parent/Guardian Name *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Allergies or Other Medical Conditions (Information will be kept confidential)
Your answer
Siblings Attending
Your answer
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