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Contact

VBS

2022 Vacation Bible School

July 18 – 22

Registration starts now and can be completed through the form on this page below.

VBS Registration Form

Complete this form for each child.

Child's name:

Child's gender:

Child's age:

Child's date of birth:

Last school grade completed:

Name of Parent(s):

Street Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Your email:

Home Church:

List any allergies, medical conditions, or special needs:

In case of emergency, contact Name:

Emergency Contact Phone:

Relation to Child:

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