VBS 2019 REGISTRATION - UNDER GOD'S SEA
VBS 2019
Child/Youth Name *
Your answer
Please check one of the following. *
Required
Gender *
Age *
Your answer
Grade Completed *
Your answer
Parent / Guardian *
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
Your answer
Cell Phone
Your answer
E-mail Address (optional)
Your answer
Contact (if other than parent)
Your answer
Phone *
Your answer
Known Allergies *
Your answer
Medical Conditions *
Your answer
Do we have permission to apply sunscreen to your child if needed? *
Do we have permission to photograph your child for use in VBS presentations and promotions? *
If you would be interested in volunteering at VBS please give us your name and phone number so we may contact you. (Adults only - Youth must complete this registration form)
Your answer
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