VBS 2019 Children
*
Child
First Name
*
Child
Last Name
* Grade Beginning in the Fall
Select one
PreK/Kindergarten
1st/2nd Grade
3rd/4th Grade
5th/6th Grade
*
Child
Email (if minor, use parent email)
* Parent/Guardian Name
Please place my child with
* Allergies
* Home Church
*
Child
Gender
Female
Male
*
Child
Emergency Contact Name & Phone
* Person(s) Allowed to Pick Up My Child
* Parent/Guardian Cell #
Add Another Person
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