Nash Road Gospel Hall

Vacation Bible School

July 8-12, 2019 @ 10am-12:30pm

PLEASE REGISTER IF YOUR CHILD PLANS TO ATTEND

VBS 2019 REGISTRATION FORM

All information submitted will remain confidential and will be used for registration purposes only

Parent's Name

First Name

Last Name

Child #1 Name

First Name

Last Name

Age

Child #2 Name

First Name

Last Name

Age

Child #3 Name

First Name

Last Name

Age

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work or Cell Phone

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Email

Comments or questions (allergies, food restrictions, etc.)