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VBS Registration Form Click here for Printable version
Vacation Bible School Registration Form

Fill out the form below, click on the submit button and a copy will be sent to the VBS coordinators 

Vacation Bible School Year:    
Vacation Bible School Dates:    

#1 Child's Name -  Child's Age -  Child's Gender
#2 Child's Name -  Child's Age -  Child's Gender
#3 Child's Name -  Child's Age -  Child's Gender
#4 Child's Name -  Child's Age -  Child's Gender
#5 Child's Name -  Child's Age -  Child's Gender
#6 Child's Name -  Child's Age -  Child's Gender


Parents Name -   Phone -
Street Address -   City, State and Zip Code -
Cell Phone -  Email Address -  

My child(ren) need(s) transportation - Yes  No
Transportation Needs To/From:
 

I am interested in volunteering! - Yes  Please contact me at the above listed cell phone or email address.

Is there anything we should know about your child(ren)?



Parent's Signature:   Date:

PLEASE PRINT THIS FORM BEFORE SUBMITTING.






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