Vacation Bible School

VBS Registration Form

Name*

Home Address*

Address

City State / Province / Region

Zipcode 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.

VBS Registration Form

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VBS Registration Form