MSCCC VBS Youth Registration Form
Morning Star Community Christian Center

2018 Vacation Bible School

July 16th - July 20th,  7 PM to 9 PM

Please fill out all of the required fields below.
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First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Home Church
Age *
Grade last completed *
Parent/Guardian Name *
Emergency Contact Name *
Emergency Contact Phone *
Allergies or Other Medical Conditions (Information will be kept confidential)
Siblings Attending
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