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Vacation Bible School (VBS)
Date:
July 27, 2019
Start:
9:00 am
End:
1:00 pm
Location:
Main Sanctuary - 4221 E Main Street, Ventura, CA 93003
Registration
:
Child's Name
(required)
Grade Entering (K-6th)
(required)
K
1st
2nd
3rd
4th
5th
6th
Gender
(required)
Boy
Girl
Date of Birth
(required)
Parent Name
(required)
Phone Number
(required)
Address
(required)
Email
(required)
Emergency Contact Name
(required)
Emergency Contact Relationship to Child
(required)
Emergency Contact Phone (must be different number from above)
(required)
Any Allergies or Medical Concerns?
(required)
Please fill out and sign the Liability Release form below to bring with you on Saturday morning
(required)
Liability Release Form
Related
VBS Servant Training
VBS Prep Day
