VBS 2020 – Child Registration

    Child's name *

    Birthday *

    Age *

    Grade completed *

    Tshirt size *

    Church membership at

    Parents' names *

    Home address (include zip code) *

    Parent email address *

    Home phone *

    Alternate phone

    Emergency Contact

    Emergency Phone

    Food allergies *
    NoYes

    Medical concerns *
    NoYes

    Doctor's Name

    Doctor's Phone

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