ClayHouse VBS Registration
ClayHouse Church VBS July 23-27, 2018 - 6:30pm - 8:30pm
(open to ages 4 years (by July 22) through entering 5th grade)
First and Last Name of Parent or Guardian of Child(ren) *
Your answer
Child 1 - First and Last Name *
Your answer
Child 1 - Age *
Your answer
Child 1 - Grade entering the 2018-19 school year *
Your answer
Child 2 - First and Last Name
Your answer
Child 2 - Age
Your answer
Child 2 - Grade entering the 2018-19 school year
Your answer
Child 3 - First and Last Name
Your answer
Child 3 - Age
Your answer
Child 3 - Grade entering the 2018-19 school year
Your answer
Child 4 - First and Last Name
Your answer
Child 4 - Age
Your answer
Child 4 - Grade entering the 2018-19 school year
Your answer
Email of Parent of Guardian *
Your answer
Address of Parent of Guardian *
Your answer
Phone number of Parent of Guardian *
Your answer
Alternate Phone number
Your answer
First and Last Name of Emergency Contact
Your answer
Phone Number of Emergency Contact
Your answer
Comments: Food allergies; medical conditions; additional children
Your answer
Do you attend ClayHouse?
Photos will be taken and displayed throughout the week, if you do not want your child's photos to be displayed, please check the box below.
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