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Child Form for VBS 2024 SCUBA
Vacation Bible School will be
JUNE 10th-14th
from 9am to NOON Each Day
at 1210 Bellaire Blvd (Bellaire Main Campus)
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* Indicates required question
Child's FIRST Name:
*
Your answer
Child's LAST Name:
*
Your answer
Child's Gender
*
Female
Male
Child's Birthday
*
MM
/
DD
/
YYYY
Child's AGE
*
Your answer
Last School Grade Completed
*
Choose
PreK-3
PreK-4
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Address (House Number and street Name)
*
Your answer
Address (City, State)
*
Your answer
Address (zip code)
*
Your answer
Parent Name
*
Your answer
Parent Cell Phone
*
Your answer
EMERGENCY CONTACT (Person Name, Person Relation to child, & Persons Phone Number)
*
Your answer
Childs T-shirt Size (If interested in a Spark Studio VBS T-shirt the cost is $10. T-shirts will be Available to Purchase on Monday the week of VBS)
Choose
Child XS
Child S
Child M
Child L
Adult Small
Adult Medium
Adult Large
Adult XL
DO NOT WANT A SHIRT
Name of your HOME CHURCH?
*
Your answer
Does your Child have any ALLERGIES or Medical CONDITIONS?
Your answer
Other Comments and or Request for VBS (please type here):
Your answer
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