Vacation Bible School Registration Form 2019
Open to all children 4 years-old through those entering 6th Grade in the Fall.
Child's Date of Birth:
Last school grade completed:
Name of Parent(s):
City, State, Zip:
Parent/Caregiver's Cell Phone:
Home Email Address:
Allergies or other medical conditions:
In case of emergency contact:
Relationship to child:
Please check one:
Monday to Friday = $50.00
Daily = $10.00 per day (must be pre-registered)
If you answered daily, which days will they he/she attend?
Send me a copy of my responses.
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