VBS Registration Form @VBC July 18-22 5:30 - 8 PM

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VBS Registration Form @VBC July 18-22 5:30 - 8 PM

(One Form Per Child)

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* Indicates required question

Email *

Your email

Child's Name, Age, and Date of Birth *

Your answer

Last School Grade Completed *

Your answer

Name of Parents *

Your answer

Address, City, State, and Zip Code *

Your answer

Home Telephone *

Your answer

Parent/Caregiver's Cell Phone *

Your answer

Home Church *

Your answer

Allergies or other Medical Conditions *

Your answer

In Case of Emergency Contact (Please include Name, Phone, and Email) *

Your answer

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