2021 VBS Registration Form 6/19/21

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Please submit a separate form for each child attending on June 19, 2021 from 10am - 2pm (Check In begins @9:45)

Email *

Welcome to Creation Station 2021!!

Your Name *

Your Relationship to child (Parent, Guardian, Other Relative; etc.) *

Your Phone Number for VBS day *

Child's Name (and name they go by if applicable) *

Child's Age

Any allergies? Food; Latex; Etc (DC will not administer any medications)

My child has permission to participate in outdoor activities *

Yes

Consent for event photography to be used solely on church social media sites/website *

Yes

Will you require your child to wear a mask? (Masks are optional at this event) *

Yes

Maybe

Consent to have child's temperature taken at Check in (Required for attendees and volunteers) *

Yes

Submit

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