Loveland Heights Church of Christ VBS Registeration

REGISTER YOUR CHILD
Please fill in the fields below to REGISTER for VBS 2009. If you
have more than two children, you may submit the form more
than once.

Your Name:

Your E-mail Address:

VBS is FREE of Charge!

Home Address:

City, State Zip

Phone Number(s):

First Child's name:

First Child's age on 7/20/2009:

First Child's Allergies:

Second Child's name:

Second Child's age on 7/20/2009:

Second Child's Allergies:

Additional information of
which we should be
aware:

Copyright ©2009 Loveland Heights Church of Christ.
VBS logos, icons, and images are trademarks of Promise Publishing, Inc.