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Breaker Rock Beach VBS 2024
June 3 - 7, 6:00-8:30pm at Symsonia Baptist Church
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VBS 2024
Child's Name (Please register each child separately.)
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Your answer
Address
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Your answer
City, State, & Zip
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Your answer
Phone number
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Your answer
Child's date of birth
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MM
/
DD
/
YYYY
Grade completed by May 2024
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Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other:
Child's Age
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Your answer
Parent's Names
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Your answer
In addition to parents, who is authorized to pick up your child after VBS?
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Your answer
Does your child have any allergies?
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Your answer
Does your child attend church?
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Yes, we attend Symsonia Baptist.
Yes, we attend a different church.
No, we do not attend church.
Email address
Your answer
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