VBS Registration 2019
Child's First Name *
Your answer
Child’s Last Name *
Your answer
Child's Grade (current grade during the 2018-2019 school year) *
Required
Parent's First Name *
Your answer
Parent's Last Name
Your answer
Parent's Phone # *
Your answer
Parent's email
Your answer
Address *
Your answer
Home Church
Your answer
Child's T-shirt size (tshirt sizes will be limited for anyone registered after May 14th) *
Required
Liability Waiver: I hereby authorize the provision of emergency treatment for my child if he/she were to become I'll or injured while under authority of North Walhalla Church of God during the week of June 3 through June 7, 2019 (if parents or guardians cannot be reached). *
Required
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