VBS Registration : West Lenexa SDA Church Lenexa KS

>Home >Ministries >VBS

VBS Registration

Child's Name

Age (4-13) / (14 & up Welcome as helpers)

Gender

Alergies

Will Child bring Inhaler

Yes No

Will Child bring Epipen

Yes No

Parent(s) Name

Address

Cell Phone

Alternate Phone

Approved Alternate Name/Phone for Child Pickup

Additional Instructions