NxtGenKids VBS Registration 2020

Location: Grace Outreach 1016 Rosarita Rd. Rio Rancho, NM 87124

Pre K-5th grade (Must be 4 years old and potty trianed)

Age:

Basic Info:

First & Last Name

Nickname

Parent/Guardian Name:

Email:

This address will receive a confirmation email

Phone:

Address:

Last grade completed in school:

I Consent to Grace Outreach Church, LLC. to use any photos for the sole purpose of advertisements, social media, and or future events.

Yes No

Medical Info:

Medical or other information we need to know (please include any food allergies):

Special Notes:

Emergency Contact (Other than primary)

Name:

Phone:

Description

July 15th.-18th 9am.-12:00pm.

Registration Online VBS - CAMP 2019