VBS 2018 Registration for 1st - 6th grade at Nueva Creacion Church
VBS EVENT IS DONE IN ENGLISH
Event Timing: June 25-29, 2018
Event Address: 1015 Castro Lane, Bakersfield, CA 93304
Contact us at (661)204-0344 leave message or nuevacreacionchurch@gmail.com
Email address *
Childs First Name *
Your answer
Childs Last Name *
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Gender *
Birth Date
MM
/
DD
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YYYY
Grade *
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I would like my child in the same group with...
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Address City State Zip *
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PARENT / GUARDIAN INFORMATION select one *
First Name *
Your answer
Last Name *
Your answer
Home Phone *
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Cell Phone *
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Work Phone
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Another Emergency Contact other than Parent/Guardian *
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First Name *
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Last Name *
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Cell Phone *
Your answer
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