VBS Registration 2019
We're excited for your kids to join us at the Middletown SDA Church Vacation Bible School, July 22-27. Please fill out this form (one per Child) and submit.
* Required
Email address
*
Your email
Child's Name
*
Your answer
Child's Gender
*
Female
Male
Prefer not to say
Date of Birth
*
MM
/
DD
/
YYYY
Last school grade completed
*
Your answer
Name of Parent(s)
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Home Phone
Your answer
Cell phone
*
Your answer
Home Church
*
Your answer
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