Christian Valley M.B.C. Vacation Bible School online registration

Welcome to our online registration form. We are excited you have decided to attend our Vacation Bible School this year; July 8-13, 2019. You can register up to 2 children per form. If you will have more than 2 children attending, please complete an additional form. Also, we will have a class for adults. Therefore, indicate on the form if you will be attending. Please complete all the applicable fields.If you have any questions, please email LaVerne Hailey at jlhailey@aol.com. We look forward to seeing you at this year's Vacation Bible School. God bless you. 

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* 1. First and Last name

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* 2. Will you be attending the Adult Vacation Bible School class?

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* 3. Phone number

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* 4. Home Address

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* 5. Email address

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* 6. Child #1: First name and Last name/ Age

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* 7. Child# 1: List any allergies and/or health limitations

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* 8. Child #2: First name and Last name/ Age

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* 9. Child#2: List any allergies and/or health limitations

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* 10. In case of emergency, who should we contact? Provide first and last name/ phone number.

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