VBS 2018
VBS 2018
Child's First name  * 
Child's Last Name  * 
Parent/Guardian Name  * 
Street Address  * 
City  * 
Cell Phone  * 
Your Email Address  * 
2018/19 School Grade or Prek Age  * 
Child's Birthday  * 
Medical Needs or Food Allergies
Emergency Contact Name and Phone Number other than Parent already listed
Will your child be attending Sports Camp after VBS (noon-3:30)? This requires a separate registration. $50 Reg Fee. Available for children who have completed Kindergarten through 2018/19 7th graders  * 
If you are attending VBS with your day care, Day Care Name
Name of the church you attend
May we have permission to photograph your child for craft projects and/or church publicity?  * 
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