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Vacation Bible School Registration Form
Come join us for VBS at Harvest!
Register your children now for our program that runs from June 23rd - 27th, 2024.
Please fill out one form for EACH CHILD.
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Email
*
Your email
Child's First and Last Name
*
Your answer
Child's Current Age
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
First and Last Name of Parent(s) or Guardian(s)
*
Your answer
Parent or Guardian's Cell Phone #
*
Your answer
Child's Home Address (including city, state, and zip)
*
Your answer
Does your child have any allergies or other medical concerns we need to be aware of?
*
Your answer
Are there any other children that will be attending VBS with your child? (friends, siblings, cousins, etc.)
*
Your answer
Please list ALL people that are allowed to pick up your child. Your child will only be released into the care of those on the list.
*
Your answer
Do you have a church you attend regularly? If so, what is the name of the church?
*
Your answer
Questions/Concerns:
Your answer
A copy of your responses will be emailed to the address you provided.
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