VBS-2018 Registration Form - Centerville Seventh-day Adventist Church, July 8-12, 6:15pm - 8:15pm
Please register each child separately using this form.
Child's name *
Your answer
Child's Age *
Child's birthdate *
MM
/
DD
Child's Complete Home Address: *
Please provide the complete address, including the zip code
Your answer
Phone number *
Your answer
The phone number above is a.... *
email address *
Your answer
Number of family members participating *
If parents are helping in other areas, where?
If not, omit this answer
Your answer
In case of emergency contact: *
Please Provide a Name and a phone number
Your answer
Please list any allergies or other medical conditions
If none, omit this answer
Your answer
Home Church:
Your answer
Name of a special friend your child might like to be with:
Your answer
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