VBS Registration

Register for Vacation Bible School!

July 15-19th (Mon. - Fri.) 9AM - 12PM
@Mohawk Community Church - 91190 Hill Road, Springfield, Oregon
Ages 4 (Potty-trained) to 13

* Indicates required field

Parent Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Child #1 *

Age *

Allergies? *

Child #2 *

Age *

Allergies? *

Child #3 *

Age *

Allergies? *

Additional Children *

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Comment *

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