VBS 2021 Registration - Cass City Missionary Church

REGISTRATION

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Child's Name *

First

Last

Grade (this fall) *

Gender *

Girl Boy

Birthday *

Age *

Parent's Names *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Allergies (or anything else we need to know) *

Please list additional children from the same family below.

Child's Name *

First

Last

Grade (this fall) *

Gender *

Boy Girl

Birthday *

Age *

Child's Name *

First

Last

Grade (this fall) *

Gender *

Boy Girl

Birthday *

Age *

Child's Name *

First

Last

Grade (this fall) *

Gender *

Boy Girl

Birthday *

Age *

Allergies (or anything else we need to know) *

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