VBS 2018 REGISTRATION
VBS DATES: Monday, August 6th- Friday, August 10th
VBS TIMES: Monday-Friday 8:30AM-Noon, Family Fun Fair Finale will be Friday Noon-3PM
Event Address: 1545 Dranesville Rd. Herndon, VA 20170
Have a question? Contact Pastor Branden Lawrence at (703) 437-7400
PLEASE FILL OUT A REGISTRATION FORM FOR EACH CHILD ATTENDING
Child's Name *
Your answer
Street Address *
Your answer
City *
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State *
Zip Code *
Your answer
Email *
Your answer
Phone *
Your answer
Parent/Guardian *
Your answer
Allergies/Medical Information
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Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Child's Birth Date *
MM
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DD
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YYYY
Grade Completed *
How did you hear about our Vacation Bible School?
Your answer
What days will he/she attend? *
Required
This is my child's first time attending a VBS at your church *
Church *
Your answer
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