VBS 2017 - Registration
VBS is July 10-14 from 6:00-8:00pm
Friday, July 14th is Family Night

Must be Age 4 - completed 5th Grade.

Child's name
Your answer
Parent/Guardian Name
Your answer
Mailing Address
Your answer
Home Phone
Your answer
Cell Phone
Your answer
email
Your answer
4 yrs to Completed Grade 5
Medical Information
Food allergies or other medical information that we need to know.
Your answer
Emergency Contact #1
Your answer
Emergency Contact #2
Your answer
Dismissal Information
Who may be picking up your child from VBS daily?
Your answer
What church do you attend if any?
Your answer
Are you visiting our church, who are you a guest of?
Your answer
May we have permission to photograph your child for the purpose of promotion?
Required
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