Trinity Community Church VBS "In the Wild" Student Registration Form
July 15-19, 2019 6:00pm - 8:15pm
Email address *
Home Address *
Your answer
Name of Parent or Guardian who has permission to drop off and pick up *
Your answer
Emergency Contact (Name & Phone Number) *
Your answer
Child's Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Grade (entering Fall 2019) *
Medical Information (including any food allergies) *
Your answer
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