VBS Registration Form @VBC July 18-22 5:30 - 8 PM
(One Form Per Child)
Email *
Child's Name, Age, and Date of Birth *
Last School Grade Completed *
Name of Parents *
Address, City, State, and Zip Code *
Home Telephone *
Parent/Caregiver's Cell Phone *
Home Church *
Allergies or other Medical Conditions *
In Case of Emergency Contact (Please include Name, Phone, and Email) *
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