NJCBC 2023 VBS Children Registration Form
Event Timing:   June 22nd - 24th , 2023 6:00 PM - 9:00 PM
Event Address: 568 Ryders Ln, East Brunswick, NJ 08816
Contact us:njcbc2000@yahoo.com
Fee: $10
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Email *
Child's Name *
Age Group *
Your child will be joining ONE recreation program. For effective resource allocation and management, you would need to select 2 choices for your child.
Recreation Programs - Select your first choice:
Recreation Programs - Select your second choice:
Parent Name(s) *
Home Address *
City, Zip *
Please check YES or No if you will stay for the parents’ workshop :
Parent Cell Phone Number(s) *
Emergency Contact- Name(s) and Cell Phone Number(s)
Food allergies/Medical Concerns
Introduced By (Must Be member of NJCBC) *
A copy of your responses will be emailed to the address you provided.
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