Foothills 2019 VBS Registration
JOURNEY WITH JESUS
Child 1 - Information
* So that children have the best possible experience at Vacation Bible School, they must be able to understand and speak English in order to attend.
First name (child 1) *
Your answer
Last name (child 1) *
Your answer
Date of Birth (child 1) *
MM
/
DD
/
YYYY
Last Grade Completed (child 1) (June 2019) *
Your answer
Allergies/Medical Conditions (child 1)
Your answer
Child 2 - Information
(Optional)
First name (child 2)
Your answer
Last name (child 2)
Your answer
Date of Birth (child 2)
MM
/
DD
/
YYYY
Last Grade Completed (child 2) (June 2019)
Your answer
Allergies/Medical Concerns (child 2)
Your answer
Child 3 - Information
(Optional)
First name (child 3)
Your answer
Last name (child 3)
Your answer
Date of Birth (child 3)
MM
/
DD
/
YYYY
Last Grade Completed (child 3) (June 2019)
Your answer
Allergies/Medical Concerns (child 3)
Your answer
Child 4 - Information
(Optional)
First Name (child 4)
Your answer
Last name (child 4)
Your answer
Date of Birth (child 4)
MM
/
DD
/
YYYY
Last Grade Completed (child 4) (June 2019)
Your answer
Allergies/Medical Concerns (child 4)
Your answer
Parent/Guardian(s)
Names *
Your answer
Address *
Your answer
Postal Code *
Your answer
Home Telephone *
Your answer
Cell *
Your answer
Email *
Your answer
Alternate Contact and Number *
Your answer
Home Church *
Your answer
Please indicate which camp you are registering for *
(Register for 1 camp only please)
A member of my family is interested in volunteering
*
Required
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