vbs — PLAZ NAZ

Placerville Church of the Nazarene

VBS Sign Up Form

Parents Name

First Name

Last Name

Childs Name

First Name

Last Name

Age

Grade

Phone

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Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What Event Are You Signing Up For?

Any allergies or anything we should be aware of?

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