Registration

VBS Kid's Registration

Child's Name (1)

Child's Age (1)

Child's Name (2)

Child's Age (2)

Child's Name (3)

Child's Age (3)

Additional children's names & ages (if needed)

Allgeries or additional important information

Name

Email

Phone

Church You Attend (if any)

Select an item ($)

One Child - $5

Two Children - $10

Three Children or more - $15

I cannot afford the registration fee and will contact REH for about receiving assistance

Thanks for Registering!

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