Cedar Creek VBS 2017
Please fill out this form and click submit.
VBS Registration form.
If you have any questions please contact one of the following.
Corina Dunn (Director of Children's Ministry) corina@cedarcreekcc.ca
Karen Edworthy (Administration) karene@cedarcreekcc.ca
Parent/Guardian Information
Name
*
Address
*
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Email
*
This address will receive a confirmation email
Contact Phone
*
Emergency Phone
*
Child Information
First Child
Name
*
Grade in September 2017
*
Please select one option.
JK
SK
1
2
3
4
5
6
Select Option
JK
SK
1
2
3
4
5
6
Special Needs Or Allergies
Second Child
Name
Birth Date
Grade in September 2017
Please select one option.
JK
Sk
1
2
3
4
5
6
Select Option
JK
Sk
1
2
3
4
5
6
Special Needs or Allergies
Third Child
Name
Grade in September 2017
Please select one option.
JK
SK
1
2
3
4
5
6
Select Option
JK
SK
1
2
3
4
5
6
Special Needs or Allergies
Fourth Child
Name
Grade in September 2017
Please select one option.
JK
SK
1
2
3
4
5
6
Select Option
JK
SK
1
2
3
4
5
6
Special Needs or Allergies
Submit
Description
Please fill out this form and click submit.
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