VBS Registration 2017 - (June 26-29)
Child's Name
Your answer
Parent / Guardian Name(s)
Your answer
Emergency Contact Number(s)
Your answer
Address
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Parent / Guardian(s) E-Mail Address
Your answer
Parent / Guardian(s) contact number(s)
Your answer
Does your child have any allergies, medical conditions, or behavioral issues we need to be aware of? Please explain them here.
Your answer
Church Affiliation? Are you a member? Y/N
Your answer
If you plan to bring neighbors and/or relatives, please give us an estimate of the total number of students that would be attending and what grades they will be entering.
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