- VBS Registration

First Covenant Church, Salina, Kansas


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Ministries > Children > VBS > VBS Registration

*=Required Fields
*First Name:	*Last Name:
*Address:	*City:

*Zip:	*Email Address:
*Home Phone: () -Second partThird part	*Emergency Phone: () -Second partThird part
VBS is for those who will be 5 by June 1st, 2011 to those who are going into 7th grade.
*Gender: MF	*Birth Date:
*Grade (In Fall 2011):	*Age (Must be 5 by 6/1):
Food Allergies:	Church Affiliation:
Who you came with:	Days you'll miss: MTWThF
I would like to be with:

First Covenant Church, 2625 Magnolia Road, Salina, Kansas 67401 785-823-3792