VBS Registration 2017
VBS Registration 2017
Child's Name
Your answer
Child's Age
Your answer
Date of birth
MM
/
DD
/
YYYY
Grade entering in the Fall
Name of Parents/Guardians
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home or Cell number
Your answer
Email address:
Your answer
In case of emergency, contact:
Your answer
List any food allergies or other medical problems:
Your answer
Home Church:
Your answer
Brought by:
Your answer
Candy Guess (If registered before 8/6)
Your answer
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