VBS Registration 2018

Parent/Legal Guardian #1 *

First

Last

Parent/Legal Guardian #1 Cell Phone *

Parent/Legal Guardian #2

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Last

Parent/Legal Guardian #2 Cell Phone

Mailing Address *

Child #1

First

Last

Gender

Grade

Child 1 Birthdate

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Child 1 Allergies

If none, please write 'none'

Child #2

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Last

Gender (copy)

Grade (copy)

Child 1 Birthdate (copy)

MM/DD/YYYY

Child 1 Allergies (copy)

If none, please write 'none'

Child #3

First

Last

Gender (copy)

Grade (copy) (copy)

Child 1 Birthdate (copy)

MM/DD/YYYY

Child 1 Allergies (copy)

If none, please write 'none'

Child #4

First

Last

Gender (copy)

Grade (copy) (copy) (copy)

Child 1 Birthdate (copy)

MM/DD/YYYY

Child 1 Allergies (copy)

If none, please write 'none'

Email *

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Bible verse of the day

It is written: ‘As surely as I live,’ says the Lord, ‘every knee will bow before me; every tongue will acknowledge God.’

Romans 14:11

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