Stonehill SDA Church VBS 2019 Child Registration Form
Please fill out a separate form for each child participating
Child's Name
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Age
Your answer
Child's Sex
Parent's/Guardian's Name 1
Your answer
Home/Cell Phone
Your answer
Work Phone
Your answer
Home Address
Your answer
Parent's/Guardian's Name 2
Your answer
Home/Cell Phone
Your answer
Work Phone
Your answer
Home Address (if different from Parent/Guardian 1)
Your answer
Allergies/Special Health Considerations
Your answer
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