JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
VBS registration
Event Date: August 8-11
Event Timing: 5:30pm-8:00pm
Event Address: 1421 W. Ball Road, Anaheim, 92802
Contact us at:
Church@princeofpeaceanaheim.org
Call: 714) 774-0993 or Text: 714) 931-0611
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Child's Age
*
Your answer
Any Allergies?
*
Your answer
Medical Considerations?
*
Your answer
Parent/Guardian's Name
*
Your answer
Parent/Guardian's Phone Number
*
Your answer
Additional Emergency Contact: Please include Name, Phone Number, & Relationship to Child
*
Your answer
Any other information you would like us to know about your child?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Peace of Peace Anaheim.
Report Abuse
Forms
