B-Force - Vacation Bible School 2016 Registration


Child's Information

Full Name:
Boy or Girl:
Date of Birth:
Age:
Grade Completed:
Parent/Guardian Name:
Street Address:
City:
Zip:
Phone:
Email:
Home Church:
Allergies or Medical Conditions:
Emergency Contact Name:
Emergency Contact Phone Number:

Name(s) of person(s) who may pick up this child from VBS:

List Full Names:

 

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More Questions?


Tuesday - Tuesday from 9am to 4pm

Phone Number: 760-324-1471
Fax: 760-324-1471
Address: 69-220 V ictoria Dr.
Cathedral City, Ca. 92234