DEAR VBS FAMILIES:XXX

You can you use this page to register. Paste and clip this in an email and send to FerndaleAllianceChurch@verizon.net with all the information provided. Thank you!

FIRST NAME OF CHILD

LAST NAME

GENDER

DATE OF BIRTH

ENTERING GRADE _____ THIS COMING FALL

MAILING ADDRESS

CITY

ZIP

PARENT PHONE #

2nd PARENT PHONE #

CONTACT EMAIL

EMERGENCY CONTACT NAME

EMERGENCY CONTACT PHONE

EMERGENCY CONTACT RELATIONSHIP TO CHILD

ALLERGIES and MEDICAL NEEDS

WHAT IS YOUR HOME CHURCH?

WILL YOU BE ATTENDING ALL WEEK?

WHAT FRIENDS ARE YOU ATTENDING WITH?

EMAIL THIS INFO TO: FerndaleAllianceChurch@verizon.net

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If you have difficulty registering with this page, contact (360) 384-4279 or email FerndaleAllianceChurch@verizon.net