Emmanuel VBS 2021
Please complete this form for each child that you wish to register. If you are registering more than one child, you may submit multiple forms.
Email *
Child's Name *
Child's Date of Birth *
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/
DD
/
YYYY
Grade Entering (2021-22 School Year) *
Parent/Guardian Name *
Postal Address *
Phone Number *
Please describe any allergies or other special needs your child may have
Emergency contact (other than parent listed above) *
Emergency contact phone number *
A copy of your responses will be emailed to the address you provided.
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