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VBS REGISTRATION
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VBS REGISTRATION
Please complete a separate form for each child attending VBS.
Child's First Name
Child's Last Name
Child's Gender
Male
Female
Child's Age
Date of Birth (month, day, year)
School Grade (2022-23)
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Street Address
City
Name of Parents/Guardians
Emergency Contact
Email Address
Home Church
Name(s) of Siblings at VBS
Allergies, Medical Conditions, Special Needs
Submit