Work Phone:

Parent/Guardian's Name: *

Address *

Emergency Contacts (Other than listed above)

Home Phone/Cell: *

Email: *

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Medical Information:

Child's Name: *

Who may pick up your child at the end of each VBS day?

If your child is visiting our church, who is he/she a guest of?

2022 VBS Spring Campus Registration

Child's Birth Date/Age: *

Last Grade Completed by 2022: *

VBS Registration Form

please submit one form per child