VBS Registration 2019 - Power UP!
Event Timing: June 23rd-June 27th
Registration fee of $10 is due on the first day of VBS.

Event Address: 1740 E. M-36 Pinckney, MI
Contact us at 734-878-6859 or amych@shalomlife.org

Student's Name *
Your answer
Address *
Your answer
Home Phone *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Emergency Contact Number *
Your answer
Grade Completed *
Your answer
Allergies or Special Needs? *
Your answer
Tee Shirt Size
Tee shirts are not required. Cost is $10 per shirt.
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