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LAVA LAVA LUAU
VACATION BIBLE SCHOOL REGISTRATION
JUNE 14-18 - 6:00-8:00 PM
4 YEARS - 6TH GRADE
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* Indicates required question
PARENT/GUARDIAN
*
FIRST AND LAST NAME
Your answer
EMAIL
*
Your answer
PHONE #
*
Your answer
ADDRESS
*
Address, City, State, Zip
Your answer
Child 1 First and Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current Age or Grade Entering Fall of 2021
*
Choose only one. Use Class instead of age if possible.
Choose
4 years old
5 years old
Transitional Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
List any allergies or medical concerns we need to be aware of.
Your answer
How did you hear about VBS?
Tell us in a few words how you heard about VBS!
Your answer
Do you have a church home?
Athens Christian Church
I attend another church!
I don't have a church home.
Clear selection
List anyone NOT allowed to pick up your child(ren).
Your answer
I have additional children to register.
*
No
Yes
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