VBS Registration Form 2024
Please complete the following form to register your child(ren) for Vacation Bible School at Heritage Baptist Church on June 2nd-5th from 6-8pm. Children age 3 through 5th grade (2023-2024 school year) are eligible to participate.
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Email *
Child's Name *
Child's Age *
Child's Grade (2023-2024 school year) *
Please list any allergies or specific needs we need to be aware of to best care for your child.
Child 2 Name 
Child 2 Age 
Child 2 Grade (2023-2024 school year)
Please list any allergies or specific needs we need to be aware of to best care for your child.
Child 3 Name
Child 3 Age 
Child 3 Grade (2023-2024 school year) 
Please list any allergies or specific needs we need to be aware of to best care for your child.
Child 4 Name
Child 4 Age 
Child 4 Grade (2023-2024 school year)
Please list any allergies or specific needs we need to be aware of to best care for your child.
Parent/Guardian Name *
Phone Number  *
Email Address  *
Address  *
Emergency Contact Name (Other than one previously listed) *
Emergency Contact Phone Number (Other than the one previously listed) *
A copy of your responses will be emailed to the address you provided.
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