VBS Form — Avert Church

VBS Registration.

Join us for Avert Church’s first Vacation Bible School August 12-13 and for our special Family Sunday Service, August 14 (picnic after church). Click below to view the full VBS schedule.

VBS Schedule

Child's Name

Child's Gender

Child's Age

Child's DOB

Date of Birth

Last School Grade Completed

Name of Parent(s)

Address

Home Phone

(###)

###

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Parent/Caregiver Cell Phone

(###)

###

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Home Church

*only if you have one

Allergies, Medications or Special Needs

In case of emergency, contact

Phone

Relationship to child