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Vacation Bible School 2019

Online Registration

Child's Name *
Child's Name
Address *
Address
Please enter the grade your child will be in this fall.
Please enter both your child's age and date of birth.
Please enter your email address for VBS news and updates.
Parent/Guardian Full Name *
Parent/Guardian Full Name
Please include any medicines that your child is currently taking.
Cell Phone - PRIMARY *
Cell Phone - PRIMARY
Enter the first contact number we should call.
Please enter NAME & PHONE
Medical Directive *
Please select your directive for providing medical assistance to your child if needed.
Child's Photo/Video Directive *
Please select your directive regarding use of your child's image for presentation or on the church website.