Kingdom Chronicles VBS Registration
Vacation Bible School at KMBC is almost here!

Children ages 4 yrs – 6th grade are invited to our “Kingdom Chronicles” VBS!

Bible lessons!
Games!
Snacks!

July 16 – 20, 9:00 – 11:30 am

Please fill out a registration form for EACH person being registered.

Child's First Name *
Your answer
Child's Last Name *
Your answer
Street *
Your answer
Apt #
Your answer
City *
State *
Zip *
Birthdate
Your answer
Age / Grade COMPLETED *
Parent/Guardian Name
Your answer
Phone *
Your answer
Email Address
Your answer
Alternate Phone Number
Your answer
Who May Pick-Up Your Child?
Your answer
Food Allergies / Medical Concerns
Your answer
Comments
Your answer
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