VBS Registration Form
Name
*
Home Address
*
Address
City
State / Province / Region
Zipcode
Select Country
United States
Country
Phone Number
*
Emergency Phone Number
*
Child 1 - Name and Age
*
Child 2 - Name and Age
Child 3 - Name and Age
Child 4 - Name and Age
Any food allergies we should be aware of?
*
Name of person picking up your child
*
Parent's name giving permission to attend
*
By typing your name, you are affirming that you are the parent or legal guardian of the above children and give permission for them to attend Shoreline's Vacation Bible School.
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