In The Wild Vacation Bible School Registration
July 15th - 19th
9:00AM - Noon
Willow Spring Church 1689 School St, Moraga, CA 94556
Contact us at (925) 376-3550
Parent/Guardian Name(s) *
Your answer
Parent/Guardian Phone Number(s) *
Your answer
Parent/Guardian E-mail (for VBS purposes only) *
Your answer
Address *
Your answer
1st Child's Full Name *
Your answer
T-shirt Size (pre-shrunk cotton) *
Grade Completed (1st Child) *
Food Allergies/Medical Concerns (1st Child) *
Your answer
2nd Child's Full Name
Your answer
T-shirt Size (pre-shrunk cotton)
Grade Completed (2nd Child)
Food Allergies/Medical Concerns (2nd Child):
Your answer
3rd Child's Full Name
Your answer
T-shirt Size (pre-shrunk cotton)
Grade Completed (3rd Child)
Food Allergies/Medical Concerns (3rd Child):
Your answer
4th Child's Full Name
Your answer
T-shirt Size (pre-shrunk cotton)
Grade Completed (4th Child)
Food Allergies/Medical Concerns (4th Child):
Your answer
Emergency Contact (other than listed above) *
Your answer
What days will you attend? *
Required
May we have permission to photograph your child(ren)
Dismissal: List names of people who may pick up your child(ren)
Your answer
I understand VBS is possible through donations: *
Required
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