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VBS Registration


July 10-14, 2017
5:30-8:30pm (Rally for parents begins at 8pm)
Dinner will be provided for the kids.

Ages: Rising K5 through Rising 6th grade

Fill out the information below to register your child!

Child's Name *
Child's Name
Parent/Guardian's Name *
Parent/Guardian's Name
Phone Number *
Phone Number
Birth Date *
Birth Date
Medical Information
dismissal information
other information