Hillcrest Church VBS Registration
July 26-28 2019. Friday 5pm to 8pm, Saturday 9am to 12pm, Sunday 10:30am to 12:30am.

Please complete one registration per child. Thank you!
Parent/Guardian's Name (s) *
Phone Number *
E-mail *
Address:
Child's Name: *
Gender:
Age: *
Last School Grade Completed:
Does the child have a Home Church (If yes- name)?
Special Needs/Allergies/Other information:
In Case of Emergency Contact: (Name)
Phone #
Relationship to Child:
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