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Back
welcome
What We Believe
Leadership Team
Back
adults
Students
Children
about
welcome
What We Believe
Leadership Team
Ministries
adults
Students
Children
events
watch services
Prayer request
give
PVBC CHILDRENS
VBS Registration
Child's Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Contact Information
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone (Primary)
*
(###)
###
####
Phone (Secondary)
(###)
###
####
Email
*
Age Information
Child's Birth Date
*
MM
DD
YYYY
Last Grade Completed
*
Medical Information
Food allergies, other health information we need to know
Dismissal Information
*
Who may pick up your child at the end of each VBS day?
Other Information
Does Your Child Attend Church? If So, Where?
If Your Child is Visiting Our Church, Who Are They A Guest Of?
May we have permission to photograph your child?
*
Yes
No
May We Have Permission to Use Your Child's Photograph For the Purpose of Promotion?
Yes
No
Thank you!