VBS Registration 2018
Shawnee Community Christian Church. Rolling River Rampage. June 7-10, 2018.
June 7th 6-8pm
June 8 6-8pm
June 9 9-11am
June 10 9-11:30am

5340 Martindale Rd.
Shawnee KS 662266

For more info email familiyministry@shawneecommunity.org

Email address *
Student Name: *
Your answer
Parent Name(s): *
Your answer
Home Address: *
Your answer
Email: *
Your answer
Parent Cell Phone: *
Your answer
Emergency Contact Name/Phone (Nonparent) *
Your answer
2nd Emergency Contact Name/Phone (Nonparent) *
Your answer
Child Age: *
Your answer
Last Grade Completed: *
Your answer
Do you have a home church you regularly attend? *
Does your child have a friend attending VBS? Who? (If no type "NA") *
Your answer
Special Needs/Allergies/Medical Info/Any Other Helpful Info: (If no type "NA") *
Your answer
A copy of your responses will be emailed to the address you provided.
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