Dexter Church of Christ: VBS Online Registration


	Dexter Church of Christ

Learn More Contact Us Events Missions Fun Sermons Worship Duties

Register for VBS 2012

Please complete one form per family. You need only to submit one registration (either paper or online); not both.

Family Information:
Parent's Name:
Address (Street, City, State, Zip):
Phone:
Email Address:
Emergency Contact Name:
Emergency Phone:
Emergency Contact Relationship:
If you or your children have a friend at the Dexter Church of Christ, please list their name:
Children Information:
Child 1 Name: Age: Grade Completed This Year: Allergies or health concerns:
Child 2 Name: Age: Grade Completed This Year: Allergies or health concerns:
Child 3 Name: Age: Grade Completed This Year: Allergies or health concerns:
Child 4 Name: Age: Grade Completed This Year: Allergies or health concerns: