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Come join us June 21-25 from 9am - Noon as we go to the Saddle Ridge Ranch and Drive Home Answers! "Need Answers?  Ask God".  Fill out the online registration form below or Click here to print out a form to drop off at the church.  For more information, please call 755-2343.

VBS Online Registration Test Form

Parent(s)/Guardian(s)

Name(s):

Address:

City:
 State:
 Zip Code:

Daytime Phone:
 Cell Phone:
 Email:

Emergency Contacts

Name:
Phone#:
Phone#: 		Name:
Phone#:
Phone#:

Child(ren)

Child Name 1:
Birth Date (MM/DD/YYYY Format):
 Last Grade Level Completed:
Medical or any other information we need to know (Please include any food allergies)

Child Name 2:
Birth Date (MM/DD/YYYY Format):
 Last Grade Level Completed:
Medical or any other information we need to know (Please include any food allergies)

Child Name 3:
Birth Date (MM/DD/YYYY Format):
 Last Grade Level Completed:
Medical or any other information we need to know (Please include any food allergies)

Child Name 4:
Birth Date (MM/DD/YYYY Format):
 Last Grade Level Completed:
Medical or any other information we need to know (Please include any food allergies)

Child Name 5:
Birth Date (MM/DD/YYYY Format):
 Last Grade Level Completed:
Medical or any other information we need to know (Please include any food allergies)

Dismissal Information

Who may pick up your child(ren) at the end of each VBS session?

Do you attend Sunday School?:     If so, where do you attend?