2019 VBS Registration
Complete form to register
Child's Name
Your answer
Child's Age
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Child's Date of Birth
MM
/
DD
/
YYYY
Last Grade Completed
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Name of Parent(s)
Your answer
Street Address
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City
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State
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Zip
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Best contact phone number during VBS
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Home Church
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Allergies or other medical conditions
Your answer
Emergency Contact, number, and relationship to child
Your answer
Child's Shirt Size
Your answer
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