Event Registration

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VBS on Monday, July 18, 2022 @ 9:00 AM

Price:

50.00

*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

Country:

Address Line 1:

Address Line 2:

City, State Zip:

Please fill out the additional registration information below. Thank you!

*Gender:

MaleFemale

*Last Grade Completed:

*T-Shirt Size:

Primary Church Campus:

*Emergency Contact Name:

*Emergency Contact Phone:

*Emergency Contact Relationship:

Parent Name (if different than above)

Parent Phone (if different than above)

Registration Total:

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*Choose your Child's grade as of this coming Fall	Qty	Price
Kindergarten	1	–
1st Grade	1	–
2nd Grade	1	–
3rd Grade	1	–
4th Grade	1	–
5th Grade	1	–