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VBS 2022 Registration

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Child Details
Child's Name (first & last)*
Gender
- Male
- Female
Child's Birthdate:
MM slash DD slash YYYY
Grade in September 2022:
Child's Street Address:
City:
Postal Code:
Child's Home Phone Number:
Child's Health Card Number:
Does your child have any allergies?:
- Yes
- No
Please list all allergies here:
Special Needs / Behaviour Issues / Medications:
Does this child have other siblings attending VBS?:
- Yes
- No
Please list the names of the child's siblings:
Child's Friend Request during VBS (one mutual request not guaranteed):
First Emergency Contact
Emergency Contact's Name:
Emergency Contact's Phone:
Emergency Contact Relation to Child:
Second Emergency Contact
Emergency Contact's Name:
Emergency Contact's Phone:
Emergency Contact Relation to Child:
Parent/Guardian Information
Parent/Guardian Email (Required):*
Names of Designated Drop-Off / Pick-Up Persons:
Do you have questions or comments for us?:
Review and Submit
Please review all the information above before proceeding.*
- I have reviewed all the information and it is complete to the best of my knowledge.

Service Times

Sunday

Friday
7:00 pm | Youth

About KWCF

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Kitchener-Waterloo Christian Fellowship

1000 Bleams Road
Kitchener, ON
N2E 3X5
(519) 745-1730

© 2020 Kitchener Waterloo Christian Fellowship

Home
Connect
- groups
- Kids
- PowerHouse Kidz Zone
- Ladies
- Men
- Outreach
- Volunteer
- Worship & Arts
- Young Adults
- Youth
Sermons
Events
- VBS
Resources
Give
Watch Live
Contact