Vacation Bible School at Kitchener Baptist Church


	REGISTER ONLINE! (You must Register for each Child)


	Name of Child:


	Child’s Age:


	Address:


	City:


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	Apartment/Unit Number:


	Phone Number:


	Name of Parent/Guardian:


	Do you require transportation:

| 1720 Glasgow Street, Kitchener ON. N2G 3W7 | P: (519) 579-2236 | F: (519) 579-2523 |