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Vacation Bible School 2019 Registration Form
ACP Vacation Bible School, Monday 26 - Thursday 29 August 2019
Please register each child individually.
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* Indicates required question
Email
*
Your email
Child's first name
*
Your answer
Child's last name
*
Your answer
Name to be called (if different than first name)
Your answer
Child's age at time of VBS
*
Your answer
Language(s) spoken by child (& level). Note that although the program will be conducted primarily in English, VBS is for open to to all children regardless of spoken language or level of ability ages 3-10 years old
*
English - Fluent
English - Basic
French - Fluent
French - Basic
Other:
Required
Parent or guardian first name
*
Your answer
Parent or guardian last name
*
Your answer
Postal address: No, Street, Postal Code, City
*
Your answer
Mobile telephone number:
*
Your answer
Can child be photographed for ACP information materials?
*
You will be asked to sign confirmation of this provision on the first day of VBS.
Yes
No
Allergies or behavioral conditions?
Your answer
Adult contact in case of emergency (if parent cannot be reached)
*
First name, last name, mobile telephone number
Your answer
Doctor to contact in case of emergency
*
Doctor's last name, telephone number
Your answer
I would like to volunteer as a VBS teacher or aide
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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