VBS Registration Form

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VBS will be June 3rd-7th from 5:30pm to 7:30pm at Hope Rising (1131 Etna Ave Huntington, IN 46750)

Please fill out one form per child.

Child's Name *

Street Address, City, ZIP Code *

Guardian's Name *

Guardian's Phone Number *

Guardian's Email

Emergency Contact Number *

Allergies or Special Needs

Grade Completed *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Child's T-Shirt Size *

Does Hope Rising have permission to take pictures or video of your child/children for use in promotion. Example could include video on our Website, a Newsletter, a Special Event Flyer, any print work, and on any social media platform that currently exists or will exist in the future. Our commitment to you is to never sell or distribute your child's/children's photo or video for any reason besides the uses described above. *

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