VBS 2022: Monumental!

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August 8-10th, 2022
From 6:00 - 8:15PM

Please answer all questions. You will recieve an email with a confirmation within 24hrs of us recieving your registration. A separate form is required for each child. For any questions, please email Crystal Mullin at: familylife@gracelutheranva.org

All RSVP's due by August 1st. If you are registering after this date, you must contact me directly at: familylife@gracelutheranva.org

Child's Name: *

Child's Gender *

Child's Age: *

Date of Birth: *

YYYY

Last school grade completed: *

Name of Parent(s) *

Address (street, city, state, zip): *

Home Telephone: *

Parent/Caregiver's Cell Phone: *

Home Email Address: *

Home Church: *

Allergies, Medical Conditions or Special Needs: *

In Case of Emergency, Contact (phone, relationship to child): *

How did you hear about this event?

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