New Jerusalem Church VBS - June 5-7, 2019
Please complete registration form. Thank you!
Prefix
*
Select Prefix:
Mr.
Mrs.
Ms.
Miss
Dr.
Min.
Rev.
First Name
*
Last Name
*
Home Address
*
City
*
State
*
- - Choose One - -
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Cell Number
NJC Campus to Volunteer
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- - Choose One - -
North Campus - 5708 Old Canton Road
Alta Woods Campus - 168 Colonial Drive
NJC Days to Volunteer
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- - Choose - -
Wednesday, June 5th - 6P - 8:30P
Thursday, June 6th - 6P - 8:30P
Friday, June 7th - 6P - 8:30P
NJC Areas to Volunteer
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- - Choose - -
K - 2nd Grade
3rd - 5th Grade
6th - 8th Grade
9th - 12th Grade
Registration
Kitchen
New Jerusalem Church has my permission to photograph and video me while participating in VBS. These photographs and videos may be used on NJC website, publications, within the church.
*
- - Choose One - -
Yes
No
Volunteer's T-Shirt Size
*
Select T-Shirt Size:
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 1X-Large
Adult 2X-Large
Adult 3X-Large