Online Registration PLC - VBS
Dates - Aug 7, 2017 - Aug 11, 2017
Parent/Guardian Information
Parent/Guardian Last Name
Your answer
Parent/Guardian First Name
Your answer
Address
Your answer
Phone Number
Your answer
Email Address
Your answer
Child's Last Name
Your answer
Child's First Name
Your answer
Age
Your answer
Birth Date
MM
/
DD
/
YYYY
Grade Completed
Allergies
Your answer
Emergency Contact Name
Your answer
Emergency Contact Relationship
Your answer
Emergency Contact Number
Your answer
Permission Slip
Please print off permission slip and return to church office by first day of VBS.
Submit
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