Vacation Bible School Registration

Please complete a registration form for each child, if you are registering more than one.
Child's Name: *
Child's Birth Date:*
Mailing Address:*
Mother's Name:*
Mother's Phone Number:*
Mother's Email Address:*
Father's Name:*
Father's Phone Number:*
Father's Email Address:*
Child's Food Allergies:
Comments, Questions or Concerns:


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