VBS 2012 SignUp :: Redeemer Presbyterian Church

VBS 2012 SignUp

Please complete the information for each child that will attend VBS. Once you submit the information for the first child, the completed form should stay in your browser so you only need to change the next child's name, birthdate, grade, age, and special needs/allergies.

Child's Name*
Date of Birth*
Grade Completed
Age*		Children between the ages of 4 years and 5th grade are welcome to attend.
Parent/Guardian Name*
Address*
City*
State*
Zip*
Home Phone*
Cell Phone
Email
Emergency Contact Name*
Emergency Contact Number*
Special Needs/Allergies
Friend's Name		Is there a special friend your child would like to be with?
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