Vacation Bible School Registration
Registration required for all children birth through 5th grade
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Email *
Child Name *
First Name
*
Last Name
Child Age *
Grade Entering in Fall *
Parent/Guardian Name *
First Name
*
Last Name
Phone Number *
Address
Home Congregation
Guest of
Allergies or Other Pertinent Information
A copy of your responses will be emailed to the address you provided.
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