VBS - Greeneway Church

Room for 200 Children

Children Registered So Far: 24.50%

Goal: $7,000.00

July 6-10

AGES 5 - 12

At the Kissimmee Campus

9am to 12pm - Monday through Friday

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Price *

$35.00 One Child

$70.00 Two Children

$105.00 Three Children

$140.00 Four Children

Child #1 - First Name, Last Name, Age, T-Shirt Size, Allergies, Other Health Conditions *
Child #2 - First Name, Last Name, Age, T-Shirt Size, Allergies, Other Health Conditions
Child #3 - First Name, Last Name, Age, T-Shirt Size, Allergies, Other Health Conditions
Child #4 - First Name, Last Name, Age, T-Shirt Size, Allergies, Other Health Conditions
Any other information we need to know?
Primary Parent or Guardian Name

First name *

Last name *

Address *
Address 2
City
State
Zip Code
Primary Parent or Guardian Email *

Primary Parent or Guardian Phone *
Emergency Contact Name and Pick-Up Permission - Provide the Names, Cellphone, and Relationship *
Provide the Names, Cellphone, and Relationship

I give my child(ren) permission to participate in the “Washed” VBS Baptism on Friday, July 10 yes or no *

Card Number *

CVV Number *

Expiration *

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