VBS 2017 Registration Ages 4/5 Pre-K & K-5th Grade
Please fill out this form and click submit.
Name
*
Email
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This address will receive a confirmation email
Phone
*
Address
*
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Child's Name
*
Child's Age
*
Please select one option.
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Select Option
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List any Allergies
*
Child #2 Name
Child #2 Age
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Select Option
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List Any Allergies
Child # 3 Name
Child # 3 Age
Please select one option.
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Select Option
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List Any Allergies
Emergeny Contact & Number
*
By submitting this registration form you agree to allow us to use any photos of your child(ren) in promotion on our church website and facebook page.
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Please select all that apply.
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