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VACATION BIBLE ADVENTURE REGISTRATION – 2022
If space is available, we will assign your child to a group with siblings or friends. Please encourage your friend to pre-register so we can honor your request.
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* Indicates required question
Child’s First Name
*
Your answer
Child’s Last Name
*
Your answer
Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
Female
Male
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Parent/Guardian Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
ZIP Code
*
Your answer
Phone Number
*
Your answer
Parent/Guardian Email Address
*
Your answer
Preferred method of communication
Telephone
Email
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What grade did your child complete this past school year?
*
Choose
None
Preschool
Kindergarten
1
2
3
4
5
6
Child’s Shirt Size
*
Choose
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Who is allowed to pick up child from VBA?
*
Your answer
My child would like to be with the following child/children:
Your answer
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