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VBS 2024 at Marseilles FBC
SCUBA
Date: July 15th - 19th 2024
Time: 6pm - 8pm
Location: Marseilles First Baptist Church 555 E. Bluff Street Marseilles IL
Ages 4 -11
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Child's Name (First & Last of all children you are registering)
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Your answer
Parent or Guardian's Name (First & Last)
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Your answer
Age of Child (Clarify ages of all children you are registering)
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Your answer
CONTACT INFORMATION
Please answer the following questions:
Phone
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Email
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Emergency Contact if we can not reach parent or guardian: Please list first and last name, phone number, relationship to child
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Your answer
MEDICAL INFO
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Please list any medical info we need to know (including any food allergies) If there are none please type N/A
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Your answer
PERMISSIONS
Please answer the following questions
May we have permission to take a photograph with your child to use for craft time and group photographs for promotions?
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Yes, you may take pictures of my child and their photograph can be used for promotions.
Yes, you may take pictures of my child but only for the picture frame craft not for promotions.
No you may not take any pictures or my child.
Required
At VBS dismissal time please list the names (first and last) of anyone allowed to pick up your child.
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SPECIAL CONSIDERATIONS
If there are none please list N/A
Any other special considerations we should know about your child?
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