VBS Registration Form
July 8-12

Worship Rally begins at 6:00pm. Check-In begins at 5:45 each evening. Your child/children will be dismissed Monday-Thursday at 8:15 pm. Dismissal for Friday may be closer to 8:30 as we will be having a Water Balloon Extravaganza.

Parent/Guardian Name
Your answer
Parent/Guardian Address
Your answer
Parent/Guardian Cell Phone Number
Your answer
Parent/Guardian Email
Your answer
Emergency Contact #1
Your answer
Phone Number
Your answer
Emergency Contact #2
Your answer
Phone Number
Your answer
May we have permission to photograph your child/children?
May we have permission to use your child/children's photograph for use in future promotion?
How many children will you be registering?
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