Seventh-Day Adventist Church

Wahiawa Seventh-day Adventist Church Wahiawa, HI

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2017 VBS Registration Form
Please fill out this form to Register your child(ren) to the 2017 Vacation Bible School. (One Per Child)

2017 VBS Registration Form
Name: *
Child's gender: *
Child's age: *
Date of birth: *
Last school grade completed:
Name of Parent(s):
Street address:
City:
Zip:
Home telephone:
Parent/caregiver's cell phone:
Home email address:
Home church (if any):
Allergies or other medical conditions:
In case of emergency, contact: *
Phone: *
Relationship to child:
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Fields marked with an * are required.