VBS Registration 2018

Parent/Legal Guardian #1 *

First

Last

Parent/Legal Guardian #1 Cell Phone *

Parent/Legal Guardian #2

First

Last

Parent/Legal Guardian #2 Cell Phone

Mailing Address *

Child #1

First

Last

Gender

Grade

Child 1 Birthdate

MM/DD/YYYY

Child 1 Allergies

If none, please write 'none'

Child #2

First

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'

Message

Bible verse of the day

Fight the good fight of the faith. Take hold of the eternal life to which you were called when you made your good confession in the presence of many witnesses.

1 Timothy 6:12

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