CCCMD VBS 2019 Registration
August 12-16, 2019
9am-12pm

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Your registration is not complete until you receive a confirmation email from us (within 48 hours).

ALL INFORMATION PROVIDED WILL REMAIN CONFIDENTIAL.

Email address *
Parent/Guardian Name *
Your answer
Relationship *
Primary Phone Number *
Your answer
Alternate Phone Number
Your answer
Home Address *
Your answer
Does your family regularly attend a church? *
If you responded "Yes," which church?
Your answer
May we keep in touch with you after VBS? *
For example, sending follow-up letters, invitations to events at our Church, in-home visitations, etc.
How did you hear about our VBS? *
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