VBS Registration Form
 
VBS Registration Form
1st Child's Name  * 
1st Child's Date of Birth and age  * 
1st Child's Last school grade completed  * 
2nd Childs Name
2nd Child's Date of Birth & Age
2nd Child's Last school grade completed
3rd Child's Name
3rd child's Date of Birth & Age
3rd Child's Last school grade completed
Parent/Guardian Name & Address  * 
Parent/Guardian Phone Numbers Home and Cell  * 
Home Church
Allergies/Medical Information/Other -With Child's Name Beside the info If None please enter none. * 
Emergency Contacts Name and Phone Numbers  * 
Dismissal Information. Names of Person(s) who may pick up this child after VBS  * 
Your Email Address  * 
 
 
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