VBS 2021 Registration
Join us for VBS at Auburn Baptist Church June 13th-17th from 5:30pm to 8:30pm!
Email *
Child's Name *
Parent/Guardian Name *
Address (street address, city, state, and zip code) *
Parent's Cell # *
Parent's Email Address *
Child's Birthdate *
MM
/
DD
/
YYYY
Last grade completed in school *
Does your child have any medical information we need to be aware of? (Please include any food allergies!)
Emergency Contact(s) (other than listed above)
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