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Life Baptist Church- VBS 2022 Registration
Please fill in the information below. If you have any questions, call the church at 306.384.6522 or email Pastor Chad at
chadw@lifebaptistyxe.com
.
Fill out and return the registration form below ASAP as space is limited.
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Email
*
Your email
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Age
*
Your answer
Grade
*
Choose
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Parent/Guardian Name
*
Your answer
Parent/Guardian Contact #
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact #
*
Your answer
Home Address
Your answer
Permission to be Photographed and/or Filmed (for the Church's use only)
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Yes
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Allergies
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Any Notes or Comments
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Today's Date
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YYYY
Please Type Your Name as Signature
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