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2019 VBS Registration Form
VBS Online Registration
Parent / Guardian Information
Mom's Name / Guardian 1
First
Last
Dad's Name / Guardian 2
First
Last
Primary Email
*
Address
Street Address
City
ZIP / Postal Code
Mom's / Guardian 1 Phone
Dad's / Guardian 2 Phone
Alt Emergency Phone
Church you attend?
How often do you attend?
Weekly
Monthly
Yearly
Child 1
Name
*
First
Last
Age
*
Grade Completed
*
Allergies?
Child 2
Name
First
Last
Age
Grade Completed
Allergies?
Child 3
Name
First
Last
Age
Allergies?
Grade Completed
By registering my child, I understand they may be in photos, videos, and social media used by Eastern Hills Baptist Church
*
I agree.
Comments
This field is for validation purposes and should be left unchanged.
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