CCCGW VBS 2022 Registration Form

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We are excited to invite you to VBS in-person this year! Come join us for a week of learning more about God as we watch skits, sing songs, do crafts, and study the Bible together.

VBS will be Monday, August 1 through Friday, August 5 from 9:00 am to 1:00 pm this year.

If you are registering multiple children, please fill the form out for each individual child.

If you have any questions, please reach out to either Minister Chris or Children's Director Grace.

Email *

Child's First Name *

Child's Last Name *

Parent/Guardian’s Name *

Home Address *

Home Phone Number *

Please write "N/A" if you don't have one.

Cell Phone Number *

Work Phone Number

Child’s Date of Birth *

YYYY

What grade will your child be in Fall 2022? *

EMERGENCY CONTACTS (other than listed above) *

Please give TWO (2) contact person's name & phone number.

MEDICAL INFORMATION *

Please list any medical or health information that we need to know. Also include any and all ALLERGIES. If none, please fill out N/A.

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