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North Hills Baptist Church VBS 2024 Registration
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* Indicates required question
Child's Name
*
Your answer
Age
*
Your answer
Last Grade Completed
Choose
3 - 5 years old
Kindergarten
1
2
3
4
5
Parent/Guardian(s) Names
*
Your answer
Street Address
*
Your answer
Mailing Address (If different from Street Address)
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Email
Your answer
Medical Conditions Including Food Allergies
*
Your answer
Emergency Contact Person
*
Your answer
Emergency Contact Phone Number
*
Your answer
Who may pick up your child at the end of VBS each night
*
Your answer
Does your child attend Children's Church, if so where?
*
Your answer
May we have permission to photograph your child?
*
Choose
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
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Yes
No
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