Keepers of the Kingdom Teen & Adult Registration
Please use this form to register teens & adults for our summer VBS. July 9-12, 2023

Teens (13-18) have the option of helping with the younger children or participating in a Teen & Adult Bible study on the Armor of God. 

Please register children 4-12 years old on this form

For more information & our director's contact information, please visit our website.
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Participant First Name *
Participant Last Name *
Age Range *
Choose one: *
Sessions attending *
Required
Parent First & Last Name (if registering a teen)
Street Address *
city *
State *
zip code *
cell phone number *
email address *
home church
allergies
By clicking the box,  I agree to the LIABILITY, MEDICAL AND MEDIA RELEASE WAIVER *
Required
Emergency Contact Name *
Emergency Contact cell phone *
special notes
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