VBS Pre-Registration Form
Nellis Baptist Church
July 10-12, 2024
11a.m. - 2:00 p.m.
Parent/Guardian First Name
Last Name
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Postal / Zip Code
1st Child's Name, Date of Birth(month/day/year), Child's Grade(last year)
2nd Child's Name, Date of Birth(month/day/year), Child's Grade(last year)
Additional Children's Name, Date of Birth(month/day/year), Child's Grade(last year)
Anything else you'd like to share?
4300 N Las Vegas Blvd, Las Vegas, NV 89115
Phone: (702) 644-1055 Fax: (702) 644-2137
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