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Register for Vacation Bible School


Vacation Bible School Registration Form

Child's Name
Male
Female
Parent/Guardian Name
Address
Home Phone
Cell Phone
Work Phone
Email Address
Child's Age
Child's Date of Birth
Grade Entering in Fall
List any allergies (including food allergies) that the VBS staff should be aware of:
Emergency Contact Name (in case parent/guardian cannot be reached)
Emergency Contact Phone
Relationship to Child
I hereby give permission for photographic images of my child taken during regular and special activi


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