Belen SDA Vacation Bible School Registration
Please fill out the form to register your child for our 2023 Vacation Bible School. 
Dates: July 17th - 21st
Times: 5:30 pm - 7:45 pm
Special program on Saturday July 22nd beginning at 10:00 am.

***ONE registration form PER child.***
We are inclusive of children of a variety of needs.
If your child has a severe allergy, disability, or developmental disability we encourage you to fill out the Accommodations Survey.
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Child's First and Last Name *
Child's Age *
Child's Date of Birth *
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DD
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Child's T-Shirt Size *
Child's Allergies or Other Medical Conditions *
Names of Parents/Guardians *
Street Address (include city, state, zip) *
Parent/Guardian Cell Phone Number *
Parent/Guardian Email Address *
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