VBS Vacation Bible School Registration 2023 Event Date & Time: June 15- 17, 2023 | 10:00 AM – 3:30 PMVenue: Atlanta Christian Assembly | 756 Jordan Ln. Decatur, GA 30033 Full Name *FirstMiddleLastDate of BirthAgeGrade CompletedAny Food AllergiesYesNoIf Yes, ListMedical ConcernsYesNoIf Yes, ExplainTransportation NeededYesNoPARENT/GUARDIAN INFOMATIONParent's/Guardian Name(s) *FirstMiddleLastHome AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome PhoneAlternate PhoneEmail *Parent's/Guardian Signature *Clear SignatureToday's Date *Security Captcha * 5-2=? NameSubmit