2019 Central Assembly of God Bethlehem VBS Registration
Please fill out the following information.
(Por favor complete la siguiente información.)
Email address *
Please enter the first name of the person attending VBS. *
(Por favor, introduzca el nombre de la persona que asistirá a la VBS.)
Your answer
Please enter the last name of the person attending VBS. *
(Por favor, introduzca el apellido de la persona que asistirá a la VBS.)
Your answer
Date of birth of attendee
(Fecha de nacimiento del participante)
MM
/
DD
/
YYYY
Last Grade Completed (Última grado completo) *
Please select the grade that your child has completed during their most recent year of school.
Name of Parent or Guardian
(Nombre del padre o tutor)
Your answer
Contact Phone Number *
(Teléfono de contacto)
Your answer
Allergy/Special Notes (Alergia / Notas especiales)
Please enter anything that the child is allergic to or any other important notes.
Your answer
Child is a guest of: (Niño es un invitado de :)
Please enter the name of the person this child is a guest of.
Your answer
Days Attending (Asistir días)
Please select all the days you plan to attend VBS
A copy of your responses will be emailed to the address you provided.
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