VBS Registration Form
Register yourself for Ship Wreck!
Date June 24 -28 - Time 6 - 8 PM (Followed By Dinner)
2710 Beltline Road Garland, TX 75044
Email address *
Name *
Your answer
Phone Number
Your answer
Class (Grade that you be going into) *
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Parents/Guardian Name
Your answer
Emergency Contact Person Name
Your answer
Emergency Contact Person Phone #
Your answer
Relationship to Child
Your answer
Name of Home Church
Your answer
Food Allergies (If Any)
Your answer
Medical Concerns (If Any)
Your answer
A copy of your responses will be emailed to the address you provided.
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