Clinton Baptist Church VBS Online Registration Form
Street Address Line 2
State / Province
Postal / Zip Code
Male or Female
Names Of Siblings Attending
Please enter a valid phone number.
Alternate Emergency Phone Number
Do You Need Transportation? (Clinton Area Only)
Signature (this gives us permission to care for your child on site, and to use VBS photos/videos of your child on the church websites)
Should be Empty:
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