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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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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Age Group
*
Finished Kindergarten
Finished 1st Grade
Finished 2nd Grade
Finished 3rd Grade
Finished 4th Grade
Finished 5th Grade
Finished 6th Grade
Your child will be joining ONE recreation program. For effective resource allocation and management, you would need to select 2 choices for your child.
Your answer
Recreation Programs - Select your first choice:
Drawing Class
Cooking Class/Food Science - Age 8 and up
Handbells
Badminton Training - Age 8 and up, bring your own racket
Craft
Recreation Programs - Select your second choice:
Drawing Class
Cooking Class/Food Science - Age 8 and up
Handbells
Badminton Training - Age 8 and up, bring your own racket
Craft
Parent Name(s)
*
Your answer
Home Address
*
Your answer
City, Zip
*
Your answer
Please check YES or No if you will stay for the parents’ workshop :
*
Yes
No
Parent Cell Phone Number(s)
*
Your answer
Emergency Contact- Name(s) and Cell Phone Number(s)
*
Your answer
Food allergies/
Medical Concerns
*
Your answer
Introduced By (Must Be member of NJCBC)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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