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2008 VBS Registration
 
Families may register up to 4 children per registration form.
 Please use an additional form if more children need to be registered
 
Fields with an * are required:
Registration for: Vacation Bible School 2008
Your e-mail address *
Parent's Name(s) *
Street Address *
City *
State *
Zip *
Parent's email *
Home Phone *
Work Phone
Cell Phone
Emergency Contact Name *
Emergency Phone Number *

#1 Child's Name (first and last) *
Age as of 6/16 or grade going into in fall *

#2 Child's Name (first and last)
Age as of 6/16 or grade going into in fall

#3 Child's Name (first and last)
Age as of 6/16 or grade going into in fall

#4 Child's Name (first and last)
Age as of 6/16 or grade going into in fall

Allergies or special conditions
*
How did you hear about VBS?

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