VBS for Kids with Special Needs Registration

Camp Dates:  July 23 -27, 2018  from 9 a.m. - 11:30 a.m.

Special Needs VBS Registration

------------------------------------------------------- Student 1 ---------------------------------------------------------------
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
If you're only registering one student proceed to Parent/Guardian Information. Siblings with or without special needs are welcome to participate.
------------------------------------------------------- Student 2 ---------------------------------------------------------------
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
If you're only registering two students proceed to Parent/Guardian Information. Siblings with or without special needs are welcome to participate.
-------------------------------------------------- Parent/Guardian --------------------------------------------------------
Please let us know your name.
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please let us know your email address.
Invalid Input
Invalid Input
Invalid Input
-------------------------------------------------- Emergency Contact -----------------------------------------------------
Invalid Input
Invalid Input
Invalid Input
Thank you so much for registering student(s) in the 2018 Special Needs VBS at Cross of Hope.
Invalid Input