2024 VBS Registration
Christian Home Church of Christ
Wicksburg, AL
June 10th-13th 9:00-11:45 am
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Child's Name (please fill out one form for each child) *
Age *
Last Grade Completed in School *
Parent/Guardian Name *
Mailing Address *
Contact Phone Number *
Secondary Phone Number
Email Address
Medical issues or other information we need to know (include any allergies)
Emergency Contact Name and Phone number (other than above)
Who may pick your child up from VBS? (if other than parent/guardian)
Home congregation (if applicable)
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