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VBS Registration
Registration is
$12 per child
and includes all VBS activities and snacks. Payment can be made on our web site, the CCC app (ccc fresno) or brought to
Central Community Church
. You may also
mail your payment no later than Monday, June 10th or pay at the VBS booth on Sundays. VBS is open to all Preschool (3's & 4's - if potty trained) aged children through 6th grade.
*
Indicates required field
Parent Name
*
First
Last
Address
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City
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State
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Zip
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Home Number
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Parent/caregiver cell number
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Email
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Home church
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Emergency Contact
Name
*
First
Last
Phone Number
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Child 1
Name
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First
Last
Choose One
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M
F
Age
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3-4
5
6
7
8
9
10
11
12
Last grade completed
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Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Date of birth
*
Allergies or medical conditions
*
Child 2
Name
*
First
Last
Choose One
*
M
F
Age
*
3-4
5
6
7
8
9
10
11
12
Last grade completed
*
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Date of birth
*
Allergies or medical conditions
*
Child 3
Name
*
First
Last
Choose One
*
M
F
Age
*
4
5
6
7
8
9
10
11
12
Last grade completed
*
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Date of birth
*
Allergies or medical conditions
*
Child 4
Name
*
First
Last
Choose One
*
M
F
Age
*
3-4
5
6
7
8
9
10
11
12
Last grade completed
*
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Date of birth
*
Allergies or medical conditions
*
Child 5
Name
*
First
Last
Choose One
*
M
F
Age
*
3-4
5
6
7
8
9
10
11
12
Last grade completed
*
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Date of birth
*
Allergies or medical conditions
*
Make Checks Payable to
Central Community Church
I Will Pay
*
With Check
Online
Cash
Is there anythig we need to Know about your child
*
I agree to receiving marketing and promotional materials
Register
Pay here
$12 per child
Home
About us
Staff
Next Steps
Contact
Update my info.
Prayer Request
Message
Ministries
Children's
Youth Ministry
Young Adult
Men's
Women's
Marriage
Small Groups
Spanish
Giving