Vacation Bible School Registration The View Church July 22-26
Please fill out 1 form per child. For questions or problems call The View Church @ 618-351-0811 VBS is July 22-26 from 6-8PM
Parent Name *
Your answer
Parent Phone Number *
Your answer
Home Address *
Your answer
Parent Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Relationship *
Your answer
Alternate Pickup Person *
Your answer
Alternate Pickup Person Phone Number *
Your answer
Child 's Name *
Your answer
Child's Gender *
Grade Entering in Fall *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Allergies/Other Medical Concerns *
Your answer
Do you have a friend you want to be placed with? If so, who? *
Your answer
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