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American Baptist Churches USA

Member Login Click here to Register

2008 Vacation Bible School

ONLINE REGISTRATION FORM

NOTE: If you have more than one child, please complete a separate form for each child.

Child's Name:
Parent/Guardian Name:
Address:
Email Address:
Phone Numbers:
Home: Work: Cell:
Age Information:
Date of Birth: Age: Last Grade completed:
Home Church (if any):
Allergies/Medical Info/Other:
Emergency Contact #1:
 Name
Phone
Emergency Contact #2:
 Name
Phone
Name(s) of person(s) who may pick up this child from VBS each day