2018 VBS Child Registration
Child's First Name:
Your answer
Child's Last Name:
Your answer
Street Address:
Your answer
City
Your answer
Zip Code:
Your answer
Home Phone Number:
Your answer
Parent/Guardian Email:
Your answer
Age of Child: (as of June 19, 2018)
Your answer
Birthday of Child:
MM
/
DD
/
YYYY
Last School Grade Completed (as of June 19, 2018):
Special Friend With Whom Your Child Might Like To Be Grouped:
Your answer
Home Church:
Your answer
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