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VBS 2016 Registration
Email address
*
Child's name
*
Parent/Guardian's name
*
Address
Home phone #
*
Cell phone #
*
Child's age
*
Current grade (2016-2017 school year)
*
Please list any allergies (including food allergies)
*
Emergency contact's name
*
Emergency contact's phone #
*
Emergency contact's relation to child
*
Person picking up your child from VBS
*
Do we have permission to take photos of your child to post on Social Media?
*
Yes
No
Home church (if any)
Submit