VBS 2020 Registration Form

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Online registration for Vacation Bible School at New Elam Baptist Church
(Please fill out one form for each child being registered)

Child's Name *

First and last name

Child's Date of Birth *

YYYY

Child's Gender *

Male

Female

Home Address *

(please include city, state and zip code)

Home Phone Number (please include area code) *

ex. (804) 555-1212

Child's Grade (as of September 2018) *

Does your child attend church? *

Yes

If yes to the previous question, which church? (If no, please type NA)

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