Magnified! Vacation Bible School
Tuesday-Thursday July 15, 16 and 17 from 5:30-8PM
Lewiston Assembly of God
4754 Creek Road Lewiston NY
Contact us at (716) 754-7736 or lewistonassembly@gmail.com
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Email *
Parents Name *
Name of Child Attending (1) *
Give the name of the child you are registering below, if registering more than one child; fill their name in the next section.  
Name of Child Attending (2)
Name of Child Attending (3)
Grade in September
Please indicate the age or grade level for each child listed above
Age 2-4
Pre-K to 1st Grade
2nd to 4th Grade
5th to 7th Grade
(1)
(2)
(3)
Additional Children and Ages
Big family?  Please list all other children you wish to register for VBS, please include their ages/grade level
Food Allergies or Special Health Considerations
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