Federated VBS Registration Form
Sign up for your child to attend Shipwrecked, Rescused by Jesus VBS June 18-21 2018 from 5:30 pm to 8:30pm
Email address *
Child's Name *
Your answer
Child's gender
Child's age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Last School Grade Completed *
Your answer
Name of Parent(s) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home telephone *
Your answer
Parent/ Caregiver's Cellphone *
Your answer
Home Church
Your answer
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