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VBS 2025 - STUDENT REGISTRATION
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VBS 2025 Student Registration Form (AGES 5-18)
Monday - Friday | July 7-11, 2025 (9:00AM-12 NOON) - (ABERCROMBIE LOCATION) 800 Rev. RA Abercrombie Drive - Killeen, TX
CHILD INFORMATION:
Child's Name
*
Your answer
Birthdate
MM
/
DD
/
YYYY
Age
*
Your answer
School Grade Entering
*
Your answer
Name of School
*
Your answer
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name
*
Your answer
Address
*
Your answer
Phone Number (Where you can be reached at all times.)
*
Your answer
E-mail Address
Your answer
In Case of Emergency, please provide a name and phone number to contact.
*
Your answer
ADDITIONAL INFORMATION
Food Allergies or other Medical Conditions
*
Your answer
Church Affiliation (Marlboro Heights?)
*
YES
NO
Required
If You Answered No Above, Please Provide Your Church Affiliation Below.
Your answer
Transportation
*
PARENT/GUARDIAN
MHMBC BUS
SPECIAL NEEDS:
We are willing to serve every child. In order for us to serve your child to the best of our ability, please provide us with any special needs that your child will require.
Special Needs
Your answer
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