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VBS registration for Zoomerang July 10-14, 2022
Welcome to the Answers in Genesis "Zoomerang" Vacation Bible School at Swann Station Baptist Church!
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Answers in Genesis "Zoomerang" Vacation Bible School
Number of Adult Participants (for our Adult VBS)
*
1
2
3
4
Parent or Guardian's Name
*
Your answer
Home Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Email Address (enter "0" if none)
*
Your answer
Home Phone Number (enter "0" if none)
*
Your answer
Mobile Phone Number (enter "0" if none)
*
Your answer
Child's Name #1
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Age
*
Your answer
Grade Last Completed
*
Your answer
Allergies (enter 0 if none)
*
Your answer
Child's Name #2 (SKIP if no other children)
Your answer
Birthdate
MM
/
DD
/
YYYY
Age
Your answer
Grade Last Completed
Your answer
Allergies (enter "NA" if none)
Your answer
Child's name #3 (SKIP if no other children)
Your answer
Birthdate
MM
/
DD
/
YYYY
Age
Your answer
Grade Last Completed
Your answer
Allergies (enter "nA" if none)
Your answer
Child's Name #4 (SKIP if no other children)
Your answer
Birthdate
MM
/
DD
/
YYYY
Age
Your answer
Grade Last Completed
Your answer
Allergies (enter "NA" if none)
Your answer
I Consent for my child/children to be photographed and/or video-taped during VBS (usually group pictures featuring activities and participation).
*
Yes
No
I give permission to Swann Station Baptist Church to include these pictures and/or video on the Church's Website, Facebook Page, and fliers.
*
Yes
No
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