VBS 2019 Registration - Newberg Church of Christ
Register your child for Vacation Bible School, June 19-22! VBS runs 9:30am-11:30 AM. On Saturday, we will have a Family BBQ and carnival immediately following VBS.

VBS is for ages 4 through Fifth Grade. Child must be 4 years old or older before VBS begins.

Child's First and Last Name *
Your answer
Child's Gender *
Child's Age *
Your answer
Child's date of birth *
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Last grade of school completed: *
Your answer
Name of Parent/Guardian (first and last) *
Your answer
Street Address, City, State, Zip *
Your answer
Parent's Phone Number *
Your answer
Primary Email Address *
Your answer
Home Church, if applicable
Your answer
Special requests, such as listing a friend or crew leader your child would like to be in the same group with at VBS. (We try to honor requests although it isn't always possible.)
Your answer
How did you learn about our VBS? (ad, banner, friend, Facebook, etc.) *
Your answer
Allergies, Food Allergies, or other Medical Concerns? *
Your answer
In case of emergency, contact: (name and phone number) *
Your answer
Secondary emergency Contact (name and phone number) *
Your answer
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