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VBS 2023
VBS Chef Registration Form
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* Indicates required question
Student' Name
*
Your answer
Parent/Family/Guardian Name
Your answer
House Address
Your answer
email
Address
Your answer
Phone numbers
Home/Cell/Work
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age AND Last school grade completed
*
Your answer
Home Church
Your answer
Friends of your child at this church
Your answer
Special Needs/Allergies/Medical information/Other
or none
*
Your answer
Emergency Contacts Name and Phone
*
Your answer
Names of persons who may pick up this child from VBS
Your answer
Photo Release: Christ Lutheran Church/VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Please sign and date. If electronic version, check below.
I agree
I disagree
Clear selection
For church use only
Assigned to Chef Group:
Your answer
For church use only
Are family members helping with Food Truck Party?
If yes, where?
Your answer
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