VBS 2019 Child Registration
Reserve your child's spot now!
Email address *
Child's Information
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Age (as of 7/1/19) *
Date of Birth *
MM
/
DD
/
YYYY
Grade (Fall 2019) *
T-shirt Size *
Allergies / Medical Conditions
Your answer
Permission to photograph and/or videotape for use in church publications (no names will be included): *
Parent / Guardian Information
Parent / Guardian Name(s) *
Your answer
Your answer
Address *
Street/P.O. Box; City; State; Zip Code
Your answer
Phone # and type (e.g. home, cell, work) *
Your answer
Email *
Your answer
Additional Info
Notes
Your answer
Pre-order a VBS Music CD or DVD!
Include payment with your registration fee. Please attach a note indicating the payment includes a CD or DVD.

Remember: Registration is NOT complete until both the Parental Consent form and registration fee are received.
We are looking forward to a wonderful week with you!
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