Hope for Haiti's Children

Parent/Guardian Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Number ### - ### - ####
Cell Phone ### - ### - ####
Email
If you would like to help with VBS, please check your areas of interest
Group Guide Storytelling Nursery Helper Donate Snack Items Decorating Registration
First Child Attending VBS
First Child's Name First Last
Child's Age
Gender
Grade he/she will be in school next year
Are there any Medical needs or Allergies that we should be made aware of?
Second Child
Second Child's Name First Last
Child's Age
Gender
Grade he/she will be in school next year
Are there any Medical needs or Allergies that we should be made aware of?
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