VACATION BIBLE SCHOOL REGISTRATION
2017 VBS Registration for Buffalo Baptist Church
Child's name *
Your answer
Child's age *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Last school grade completed *
Your answer
Parent(s) Names *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Home telephone *
Your answer
Parent/Caregiver's cell phone number *
Your answer
Home Email address *
Your answer
Home Church *
Your answer
Allergies or other medical conditions
Your answer
Emergency contact name *
Your answer
Emergency contact phone *
Your answer
Relationship to child *
Your answer
T-shirt size *
Overnight Stay (Friday, July 28th Kindergarten and up only unless accompanied by an adult) *
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