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Household / Adult Primary Contact

Thank you for your interest in our 2021 VBS Day!

Bring family and friends for a "Taste" of VBS!

We will have music, story, crafts, activities, games, and snacks!

You will not want to miss this event!

The event is geared for children through grade 5, but it is a family event!

Relationship to Participants: *

Parent

Grandparent

Other Other

First Name *

Last Name *

Address 1 *

City *

State *

Zip *

Home Church *

Phone *

Email Address *

Would you or a student 6th grade or older be willing to serve and help out this year? *

Yes

No

Need More Info

Participant Information

Participant 1

Child First Name *

Last Name *

Age *

Grade Completed *

Known Allergies

Has the Child attended VBS at Grace Community Before? *

Yes

No

Next Child

Done

Participant 2

Child First Name *

Last Name *

Age *

Grade Completed *

Known Allergies *

Has the Child attended VBS at Grace Community Before? *

Yes

No

Next Child

Done

Participant 3

Child First Name *

Last Name *

Age *

Grade Completed *

Known Allergies *

Has the Child attended VBS at Grace Community Before? *

Yes

No

Someone other than myself may pick my Child or Children up *

Yes

No

If more than 3 Children please fill out a Second Registration