VBS 2019
July 28-Aug1 6:30-8:30 pm FREE Ages PK-6th (Grade just completed)

*PLEASE COMPLETE A SEPARATE REGISTRATION FOR EACH CHILD*

(Note: Information is for church-use only & will not be shared.)
Questions? Call the Church Office @ 2184833426

Email address *
Child's Name *
Your answer
Child's Age *
Grade just completed *
Home Address
Your answer
Parent/Guardian Name & Phone # *
Your answer
Emergency Contact Name & Phone # *
Your answer
Allergy/Dietary Concerns/Special Needs
Your answer
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