VBS 2023

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Pre-registration for VBS! Please fill out one for each child who will be attending.

Name of Child *

Child's date of birth *

Parent's Name *

Parent's Phone Number

Second Phone Number in case of emergency *

Parent's Email

I understand I may receive email updates regarding VBS 2023, Anchored in Faith. Select all that apply Yes

Does your child have any medical conditions we should be aware of? If no, please type "None." *

Are there any medications the child needs including Epi-Pen, inhaler, etc. If no, please type "None." *

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