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Register for Vacation Bible School

Please fill out a seperate registration form for each child/adult who wishes to participate in Vacation Bible School.

Child/Youth/Adult Name

First Name

Last Name

Age (child only)

Grade Last Completed (child/youth only)

Gender

Parent's Name (Child/Youth Only)

First Name

Last Name

Contact Information

Address Line 1

Address Line 2

City

State

Zip Code

Phone (required

Other Information

Siblings Attending VBS (child/youth only)

Home Church (optional)

Allergies or Special Needs (optional)

Emergency Contact Name (child/youth only)

Emergency Contact Phone

Relationship to Child

Ministries

C.R.O.S.S. Kids

FM Youth

Men’s Ministry

Missions

Music

Preschool and After School

Scouts

Senior Friends

Service Ministries

Sunday School

Women’s Fellowship

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Register for Vacation Bible School

Child/Youth/Adult Name

Parent's Name (Child/Youth Only)

Contact Information

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