Waterville VBS Registration
CAVE QUEST VBS
August 8-12 (Monday-Friday)
9:00am-12:00pm each day
Waterville Federated Church
224 W. Ash St., Waterville, WA 98858
509.745.8785

PLEASE FILL OUT A COMPLETE REGISTRATION FOR EACH CHILD TO HELP WITH OUR RECORDS
Participant First Name *
Your answer
Participant Last Name *
Your answer
Participant's Gender *
Date of Birth *
MM
/
DD
/
YYYY
Last School Grade Completed *
Parent(s) Names *
Your answer
Parent Phone Number #1 *
Your answer
Parent Phone Number #2
Your answer
Email (needed for online registration) *
Your answer
Physical Address *
Your answer
Dietary restrictions *
Allergies or other medical conditions (put n/a if there are none) *
Your answer
Anything you'd like us to know or be aware of?
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Relationship to Participant
Your answer
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