VBS Registration

Name

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Contact Details, Parent Information

Name*

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Email*

Enter Email Confirm Email

Cell Phone*

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Pick-up Permissions, please list names of approved people, other than parent on this form, who can pick the child up after VBS.

Emergency Contact, Name*

First Last

Emergency Contact, Phone*

Emergency Contact, Name

First Last

Emergency Contact, Phone

Comments, please share any questions or additional information to clarify answers above.

How did you hear about this event?*

You did it! Don't forget to hit submit to send your form to us! We're looking forward to VBS and hope you are, too! Our location for VBS is at the Seventh-day Adventist Church, 815 North Kentucky Avenue, Mason City, Iowa

VBS Registration

Cactusville VBS (Vacation Bible School) Registration

Contact Details, Parent Information

Event Details