Child's Name:
Parent's Name:
Address:
City:
State:
Zip Code:
Emergency/Cell Phone: example: 111-111-1111
Email:
Allergies:
Age:
Grade Entering:
Home Church:
How did you hear about our VBS?  
District 205 Open House
Elmfest
Friend
Attended in the Past
Our Sign or print ad
BSF
Member
Other
 
You should receive an email confirmation that we have received your registration within 7 days
If you don't, please call our church office at 630.279.1776.
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