Vacation Bible School - Covenant Community Church
Online Registration form - ONE SUBMISSION PER CHILD PLEASE
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Child's Last name *
Child's first name *
Child's age at start of VBS *
Grade just completed *
Parent's Name *
Street address *
City *
State *
Zip code *
Best contact phone number (in the unlikely event we need to reach you) *
Cell phone number (if different from above)
Email address
Emergency contact name *
Emergency contact number *
Medical release *
You must check the following box.
Please list any allergies for your child.
Church affiliation
How did you hear about us?
Will you attend the Ice Cream Social Thursday evening of VBS? (You can still sign up during VBS!)
If you will be able to attend the Ice Cream Social, how many (including you) will join us? (Please respond on one form only! - Thank You).
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