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Vacation Bible School
July 25-29 | 6:00-8:00 PM
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Email
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Parent's First and Last Name
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Parent's Cell Phone Number
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Mailing Address
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City/State/Zip
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Do you regularly attend church?
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If yes, where do you attend?
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Would you like more information about Englewood Baptist Church?
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I already attend
If you are a member of EBC, would you like to volunteer to help at this year's VBS?
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I understand that by signing up my child for VBS, I am giving permission to Englewood Baptist Church to photograph my child(ren) for use in any church publication(s) including social media.
Initial below that you understand the above statement. If you would prefer your child is not photographed, please contact Beth Parrish at
beth@englewoodbaptist.com
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Please note: VBS at Englewood is specifically designed for children age 3 (by 8/31/21) through rising 5th grade. If your child is outside these age limits, we unfortunately will not be able to accommodate them at VBS this year.
Child's First & Last Name
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Grade in Fall 2021
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3 yr old PreK
4 yr old PreK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Special Needs (No Age Restriction)
Date of Birth
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Gender
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Food Allergies/Medical Concerns/Special Needs
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Request to be in a group with:
Please note, We try to accommodate requests as possible, but they must be in the same ages/grade group.
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Child's First & Last Name
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Grade in Fall 2021
Choose
3 yr old PreK
4 yr old PreK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Special Needs (No Age Restriction)
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Clear selection
Food Allergies/Medical Concerns/Special Needs
Your answer
Request to be in a group with:
Please note, We try to accommodate requests as possible, but they must be in the same ages/grade group.
Your answer
Child's First & Last Name
Your answer
Grade in Fall 2021
Choose
3 yr old PreK
4 yr old PreK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Special Needs (No Age Restriction)
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Clear selection
Food Allergies/Medical Concerns/Special Needs
Your answer
Request to be in a group with:
Please note, We try to accommodate requests as possible, but they must be in the same ages/grade group.
Your answer
A copy of your responses will be emailed to the address you provided.
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