Vacation Bible School Sign-Up
VBS Sign-up
* Required
First Name *
Last Name *
 
Birthday *
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone *
  
 
School grade completed *
 
Emergency Contact Number *
 
 
 
Vacation Bible School Registration
 
June 9-13 9:30 am - 12:30 pm
 
Ages 4 (must be 4 by 9/1/08) - 6th grade
 
Parent/Guardian Name *
 
Person(s) authorized to pick up child
 
Would you like more information on Wieuca? *
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Special instructions or alerts:
 
 
 
 
 
* Spaces are limited. Register now.
 
Please call 404.816.4968 if you have questions.
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