Keepers of the Kingdom VBS Child Registration

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Please use this form to register your child for our summer VBS. July 9-12, 2023

Adventure and excitement await! 4 years old to 12 year olds will be in Traveling Troupes learning all about the Armor of God and how they are Keepers of the Kingdom.

Teens (13-18) have the option of helping with the younger children or participating in a Teen/Adult Bible class on the Armor of God. Please register teens and adults on the Teen/Adult Form.

For more information & our director's contact information, please visit our website.

Participant First Name *

Participant Last Name *

Particpant Age/Grade *

date of birth *

YYYY

Sessions attending *

Session 1 - Sunday 9:30am-11:30am

Session 2 - Sunday 5:30-7:15pm

Session 3 - Monday 5:30-7:15pm

Session 4 - Tuesday 5:30-7:15pm

Session 5 - Wednesday 5:30-7:15pm

Required

Parent First & Last Name *

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 *

Check to accept the waiver

Required

Emergency Contact Name *

Emergency Contact cell phone *

special notes

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