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VBS 2018 REGISTRATION

VBS 2018 REGISTRATION

Sunday June 24th – Friday June 29th

5:30pm – 8:00pm

AGES: 3 Years – 5th Grade

VBS

REGISTRATION FORM

Child's Name:*
Parent/Guardian:*
Parent/Guardian 2:
Address:*
Home Phone:
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Cell Phone:*
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E-mail:*
Birth Date:*
Last Grade Completed:*
Medical or other information we need to know. (Please include any FOOD ALLERGIES.)
Emergency Contact:*
Emergency Phone:*
Second Emergency Contact:
Second Emergency Phone:
Who may pick up your child at the end of each VBS day?*
If your child is visiting, who is he/she a guest of:
Does your child attend Sunday School? If so, where?*
May we have permission to photograph your child?*
May we have permission to use your child's photograph for the purpose of promotion?*
How did you hear about VBS 2018?*