Covenant Church of Schaumburg 2015 VBS Registration

Our Vacation Bible School is July 20 - 23 (Monday - Thursday) from 6:30 PM to 8:45.The cost is $12 per child. For families of three children or more, the cost is $10 per child.

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* 1. Please provide the following information:

Your name:

Street address:

Town:

Zip:

Home phone:

Cell phone:

Email address:

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* 2. Please provide the name(s) of the children you are registering and their age:

Child 1 name & age:

Child 2 name & age:

Child 3 name & age:

Child 4 name & age:

Child 5 name & age:

Covenant Church of Schaumburg 2015 VBS Registration

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* 1. Please provide the following information:

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* 2. Please provide the name(s) of the children you are registering and their age:

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* 3. What is your relationship to the children you are registering?

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* 4. Please list any allergies/medical needs for the children you are registering.