2018 - Calvary Chapel Blythe Summer VBS. July 10-13, 2018. Kids from 4 years thru 6th Grade are welcome. No cost.

Name of Your Child

Child's Age

Registering Adult's Name

Your Address

Mobile Phone (for texting / calls)

Home Phone

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Are You the Child's Emergency Contact?

Please list any allergies or health issues the child has. If none, write

Description

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