Vacation Bible School 2023

VBS at fisherville

June 19th - 23rd (Mon-Fri)

6pm-9pm

Register Below

Guardian Name

First Name

Last Name

Email

Address

Contact Phone Number 1

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Contact Phone Number 2

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Emergency Contact

First Name

Last Name

Emergency Contact Relationship

Emergency Contact Phone 1

(###)

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Alternate Pickup Name

First Name

Last Name

Alternate Pickup Phone Number

(###)

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Child's Name

One Registration per child please

First Name

Last Name

Home Church Affiliation

Child's Current Age

Gender

Date of Birth

Shirt Size

Other Comments

Allergies

Medical Concerns