VBS 2019 Registration Form - (Page 1 of 3)
The Church of the Good Shepherd and Reid Memorial Presbyterian Church are partnering once again to provide rising PreK - 5th Grade students a wonderful, faith filled week.

Date: June 3 – June 7, 2019
Time: 9:30am – 12:30pm
Location: Church of the Good Shepherd, 2230 Walton Way, Augusta GA
Eligible Participants: Rising PreK – 5th Grade Students


Registration Deadline: May 28, 2019

Child's name *
Your answer
Entering Grade *
Date of Birth *
On or before 9/1/2015
Your answer
Gender *
Is your child a special needs child? *
Home Church
Your answer
Parent/Guardian *
Your answer
Cell #: *
Your answer
Parent/Guardian
Your answer
Cell #:
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Home Phone
Your answer
Work Phone
Your answer
Email Address *
Your answer
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