Vacation Bible School Registration 2018

Please fill out ONE form for EACH child and click submit.

Child's Name

*

Child's Age

*

Please select one option.

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Child's Date of Birth

*

Parent's/Guardian's Names

*

Phone

*

Email

*

This address will receive a confirmation email

Address

*

Any allergies?

Any physical limitations or medical conditions we should be aware of?

Emergency Contact Name and Number

*

Names of who will be allowed to pick your child(ren) up from VBS

*

Do you have a current church you attend? If so, which one?

How did you find out about our VBS?

*

Please select all that apply.

Sign in front of church Door Hanger Business Card Online Advertising CBC Website Other

Description

Please fill out ONE form for EACH child and click submit.

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