VBS Registration for 502 Highland Street
June 10–13, 2021

This year's VBS will be June 10-13, at 6:00-8:00 PM. Please fill out this registration form in full to register your child. Yes, each child needs to have his/her own form. Thank you! We look forward to pointing your child to Jesus!
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Email *
Child’s Name *
Birthday *
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DD
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YYYY
Age? *
Address *
Mailing Address *
Email? *
Parent/Guardian name *
Telephone where we can reach you: *
Emergency number if we cannot reach you: *
Is your child allergic to anything?
Do you and/or your child attend a church? *
Where do you attend church?
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