2019 Vacation Bible School Registration
Please register all of your children that will be attending Central Valley Community Church's VBS program this summer.
* Required
Email address
*
Your email
Your Name
*
Your answer
Phone Number
*
Your answer
Alternate Phone Number
Your answer
Address
*
Your answer
How did you hear about our Vacation Bible School?
*
I attend CVCC
Word of mouth
I saw a flyer around town
My children attended in previous years
My children were personally invited
On Facebook
On your website
Other:
Do you attend CVCC?
*
Yes
No
Are you currently looking for a church family to belong to?
*
Yes
Yes, and would like a member of the leadership team to reach out to me.
No
Maybe
Can we post pictures of your children on our church website and/or Facebook page?
*
Yes
No
Child 1
Child 1: Name
*
Your answer
Child 1: Grade
*
4 years - Pre-K
Completed Kindergarten
Completed 1st Grade
Completed 2nd Grade
Completed 3rd Grade
Completed 4th Grade
Completed 5th Grade
Completed 6th Grade
Child 1: Any special considerations we need to be aware of for this child?
Your answer
Child 2
Child 2: Name
Your answer
Child 2: Grade
4 years - Pre-K
Completed Kindergarten
Completed 1st Grade
Completed 2nd Grade
Completed 3rd Grade
Completed 4th Grade
Completed 5th Grade
Completed 6th Grade
Clear selection
Child 2: Any special considerations we need to be aware of for this child?
Your answer
Child 3
Child 3: Name
Your answer
Child 3: Grade
4 years - Pre-K
Completed Kindergarten
Completed 1st Grade
Completed 2nd Grade
Completed 3rd Grade
Completed 4th Grade
Completed 5th Grade
Completed 6th Grade
Clear selection
Child 3: Any special considerations we need to be aware of for this child?
Your answer
Child 4
Child 4: Name
Your answer
Child 4: Grade
4 years - Pre-K
Completed Kindergarten
Completed 1st Grade
Completed 2nd Grade
Completed 3rd Grade
Completed 4th Grade
Completed 5th Grade
Completed 6th Grade
Clear selection
Child 4: Any special considerations we need to be aware of for this child?
Your answer
Child 5
Child 5: Name
Your answer
Child 5: Grade
4 years - Pre-K
Completed Kindergarten
Completed 1st Grade
Completed 2nd Grade
Completed 3rd Grade
Completed 4th Grade
Completed 5th Grade
Completed 6th Grade
Clear selection
Child 5: Any special considerations we need to be aware of for this child?
Your answer
Send me a copy of my responses.
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