Desert Hills Baptist Church
Vacation Bible School

4401 S. Nellis Blvd.
Las Vegas, NV 89121

VBS Registration Form - Please complete form completely

• First Name *
• Last Name *
• Email *
• Phone Number * (+1) (+61) (+44) (+64)
• Mobile Number * (+1) (+61) (+44) (+64)
• Company Name *
• Website *
• City *
• State *
• Zip Code *
• Address *
• Additional Information *
• AGE INFORMATION Birth date for preschoolers or last grade completed in school *
• MEDICAL INFORMATION Medical or other information we need to know Please include any food allergies *
• EMERGENCY CONTACT Name *
• EMERGENCY Phone Number *
• DISMISSAL INFORMATION Who may pick up your child at the end event *
• OTHER INFORMATION Do you attend Sunday School *
• Where do you attend Sunday School *
• Age Group *
• Birth month *
• Gender *
• relatives *
• linked emails *
• age *
• education *
• gender *
• high net worth *
• home owner status *
• household income *
• length of residence *
• marital status *
• market value *
• occupation *
• presence of children *
• resource uri *
• Amount:  0.00$