VBS SHIPWRECKED 2018 July 22-25 / 6:15-8:30pm REGISTRATION FORM
Students are eligible to participate if they are 3 years of age - entering 4th grade during by June 16, 2018. Please completely fill out all information and return by MAY 31, 2018. Please fill ONE FORM for each student. Thank you
Student's Name *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Grade in School 2018-19 *
Home Address *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Emergency Contact *
Your answer
Relationship to Student *
Your answer
Emergency Contact Phone Number *
Your answer
Please list any allergies or medical conditions your student has *
Your answer
Home Church
Your answer
I am willing to serve as a Volunteer (volunteers must over 12 years of age) *
Age Of Interested Volunteers *
Required
Volunteer Opportunities...I am willing to help with *
Required
Volunteer Name *
Your answer
Volunteer Email *
Your answer
Volunteer Cell Phone *
Your answer
Names of Other Volunteers Interested in Helping Me
Your answer
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