VBS 2019 Registration Form

Student Name

Age

Grade

Birthday

This address will receive a confirmation email

Home Phone

Cellphone

Father's Full Name

Mother's Full Name

Address

Emergency Contact (if parent cannot be reached)

Relationship

Contact Number

Doctor's Name

Contact Number

Allergies, medical concerns, or special learning needs (if any)

Do you attend Sunday School or church?

Yes No

If yes, where?

Description

June 24-28, 6:30-8:30pm

Please fill out this form and click "Submit". You will be receiving a confirmation email containing forms that you need to fill out and sign. Thank you!

VBS 2019 Registration Form

Description

Please Fix the Following