REGISTRATION FOR VBS 2022

Last Name
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First Name
*
Age
*
Birth Date [Month/Day/Year]
*
Gender
*
T-shirt Size
*
Your Cell Phone Number
*
Email Address
*
Parent's Name
*
Parent's Phone Number
*
Address (Put N/A for Address Line 2)
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Do you go to church?

Yes
No
If yes, write the name of your church:
Some of the pictures taken during this virtual event may be used on our social media. Please sign below as acknowledgement.
*
Please click on the checkbox to continue
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Virtual VBS Registration Form

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