North Bronx Vacation Bible School
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We are excited about this year's Vacation Bible School. This year children will visit the Mazan Oasis, where they will learn that God is faithful.

This will be an exciting two weeks of singing, playing games, and learning about how God is faithful in good times and bad.

Date- July 10-21st

Time- 9am - 1pm 

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Email *
Child's Full Name  (First and Last) *
Child's Age  *
Child's Date of Birth  *
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T-shirt Size *
Name of Parents/Guardians *
Street Address (City, State, Zip) *
Parent/guardian’s cell phone: 
Parent/guardian’s email address:
*
Custodial arrangement if applicable:  
Allergies or other medical conditions (i.e. diabetes):  
In case of emergency, contact:
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Emergency Contact  Phone:   *
Emergency Contact Relationship to child:
*
I give permission to call 911 in case of emergency.   

Photographs will be taken during VBS. My yes indicates I am giving permission for my child’s photo to be taken.

*

The following Individuals are allowed to pick my child up from VBS

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The following section is our " Needs Survey" 

It is important that all caregivers complete this section. PRESS SUBMIT once you have completed the next portion of the application.  

We are excited to have your child here at VBS! We believe that every child has God-given strengths and abilities. We would love to get to know your child better in order to encourage these strengths and abilities as well as to support them in the areas where they may need additional help. We welcome all children. However, please note we are not licensed to provide mandated special education services. Please fill out the form below so we can get to know your child better.

**All information provided will be kept confidential 

My child’s primary means of communication is:
Additional information concerning my child’s allergies or food sensitivities:
My child’s favorite activities and interests are:  
My child avoids doing or becomes easily frustrated with the following activities:  
If my child becomes overwhelmed or frustrated they will respond best to:  
My child’s strengths are:  
My child needs help with:  

What suggestions do you have that may help us create the best possible experience for your child? 

My child has the following educational classification or medical diagnosis:
WE CAN'T WAIT TO MEET YOU AND YOUR CHILD!

Learning about how God is faithful in good times and bad, singing, games, Fun Day, FREE LUNCH, and MUCH MORE!

Registration Fee $50

Zelle - treasury@northbronxsda.org -Be Sure to Add “Vacation Bible School 2023” in note to treasurer.

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