Hope CRC - VBS Registration 2019
Please complete and submit a form for each child participating. Children Age 4 – 5th Grade
VBS begins June 17–21
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Home Email Address *
Your answer
Number of family members participating in VBS *
Your answer
Will parents be helping with VBS? *
If "Yes" where will parents be helping with VBS?
Your answer
Emergency Contact - Name *
Your answer
Emergency Contact - Phone Number *
Your answer
Emergency Contact - Relationship to Child *
Your answer
Allergies or Medical Conditions
Your answer
Home Church
Your answer
Name of a friend your child might like to be with
Your answer
Submit
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