The Church with A Warm Heart
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Why Do We Give
Home
VBS Registration
Student Name
Parent/Family/Guardian Name
Street Address
City / State / Zip
Parent / Guardian Email
Default Phone
Cell Phone
Alternate Phone
Date of Birth
Home Church (if any)
Friends of your child at Aldersgate
Special Needs/Allergies/Medical Information/Other:
Emergency Contact's Name (If parent / guardian doesn't answer)
Emergency Contact's Phone
Name(s) of person(s) who may pick up this child from VBS
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