VBS Registration Form 2022

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VBS Registration Form 2022

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* Indicates required question

Child's Name *

Your answer

Child's Age *

Your answer

Child's Date of Birth *

MM

/

DD

/

YYYY

Last school grade completed *

Your answer

Name of Parent(s) *

Your answer

Street Address *

Your answer

City *

Your answer

State *

Your answer

ZIP *

Your answer

Phone Number *

Your answer

Email Address *

Your answer

Home Church *

Your answer

Allergies, medical conditions, or special needs *

Your answer

In case of emergency, contact *

Your answer

Relationship to Child *

Your answer

Contact Number *

Your answer

T-shirt Size *

XS

S

M

L

XL

XXL

Other:

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