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2022 VBS Registration Form
Lincoln Hills Christian Church
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VBS Dates: June 20-23 (5:30-8:30 PM)
Please fill out one form per child
Child's Name
*
Your answer
Grade Completed
*
Pre-K
K
1
2
3
4
5
Birthday
*
MM
/
DD
/
YYYY
Parent's Names
*
Your answer
Home Address
*
Your answer
Home phone
*
Your answer
Alternate phone
Your answer
Emergency Contact 1 Name/ Phone Number
*
Your answer
Emergency Contact 2 Name/ Phone Number
*
Your answer
Food Allergies
*
Yes
No
If yes, list:
Your answer
Medical Concerns
*
Your answer
Do you have a regular church?
*
Yes
No
Person(s) Names who May Pick Up Child:
*
Your answer
Do you plan on eating meals each day at VBS? Please note: if you have multiple children attending, please answer yes on one child and no on the other children.
*
Yes
No
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