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Monday, October 06, 2008
Church      Vacation Bible School      VBS Registration Form
 VBS Registration Form   

To register for Vacation Bible School at Shepherd of the Coast, please complete this form. If you have any problems, call 954-772-8010. The items marked with * are required.

Child's First Name*
Child's Last Name*
Child's Age*
Grade Completed*
Parent's Name(s)*
Address
Home Phone*
Alt. Phone
Your E-mail Address*
Emergency Contact & Phone*
Food Allergies/Medical Problems*
Family Doctor
Doctor's Phone
Siblings at VBS this year
T-Shirt Size
How did you hear about us?
Submit
*Required