VACATION BIBLE SCHOOL REGISTRATION     2022                                          
VBS DATES: Monday, August 1st- Friday, August 5th
VBS TIMES: Monday-Friday 8:30AM-Noon, Family Fun Fair Finale will be Friday Noon-3PM
Event Address: 1545 Dranesville Rd. Herndon, VA 20170
Have a question? Contact Pastor Branden Lawrence at (703) 437-7400
For children going into K-5 up through children going into 6th grade
PLEASE FILL OUT A REGISTRATION FORM FOR EACH CHILD ATTENDING
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Email *
Child’s First Name *
Child's Last Name *
Child's Date of Birth *
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/
DD
/
YYYY
Child's Age *
My child is going into *
Child's allergies
Street Address *
City *
State *
Zip Code *
Phone Number *
Parent/Guardian's Name *
Parent/Guardian's Relationship to child *
Emergency Contact *
Emergency Contact Phone Number *
How did you hear about our VBS?
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This is my child's first time attending VBS *
What days will he/she attend? *
Required
What church do you attend *
I would like
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