2021 VBS Registration Form

Registration Form

Note: If you only have one child then you only need to fill out the fields referencing Child #1.

Child #1 *

First

Last

Child #1 Age During VBS *

Child #1 Gender *

Child #1 Grade Entering in Fall *

Child #1 Allergies *

Child #2

First

Last

Child #2 Age During VBS

Child #2 Gender

Child #2 Grade Entering in Fall

Child #2 Allergies

Child #3

First

Last

Child #3 Age During VBS

Child #3 Gender

Child #3 Grade Entering in Fall

Child #3 Allergies

Child #4

First

Last

Child #4 Age During VBS

Child #4 Gender

Child #4 Grade Entering in Fall

Child #4 Allergies

Parent/Guardian Full Name *

Street Address *

City *

State *

Zip *

Phone (cell preferred) *

Email *

Home Church (n/a if none) *

Emergency Contact Name/Number(if parent/guardian cannot be reached) *

Mom's/Grandma's Bible Study Registration Name

If attending Mom's/Grandma's Bible Study, do you have a child under the age of 4 requiring nursery care during that time? If so, name(s), age(s)

How did you hear about VBS at Hope Church?

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