VBS Registration — Calvary Chapel Long Hollow

VBS Registration Form

VBS June 23rd - 27th

Please fill out the form below so we have all of the necessary information. (Each child must be registered separately.)

Child's Name

First Name

Last Name

Child's Age?

Grade Completed?

Parent/Guardian's Name

First Name

Last Name

Cell Phone Number

(###)

###

####

Email

Allergies?

Yes

No

If Yes please describe

Other Information or Concerns