VBS 2024 Registration

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Use this form to register for Scuba VBS June 3-6 at Heart of Junction Church. VBS will take place inside the church.

Parent Information

Please only fill out one form per family.

Parent Name *

Parent Cell-Phone (We really need the cell phone in case of an emergency. Please do not list a home phone number here.) *

Alternate Phone

Parent E-mail (You will get some announcements about drop off and pick up close to the event week.) *

Full mailing address (including zipcode)

Do you attend church anywhere?

Yes, at Heart of Junction Church

Yes, at another church

其他：

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If you are not a current HOJ family, please list who invited you or how you found out about VBS.

All kids will be photographed and pictures will be posted on the church Facebook page. If this is a concern, please list concerns below.

I understand that my child will be photographed.

其他：

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Student Information

Student First and Last Name *

Student Age (This program is for 3 year olds who are potty-trained through students who have finished 6th grade.) *

Finished Grade in school (This program is for preK-6th grade.) *

Birthday *

YYYY

Medical Concerns *

Please list any possible health concerns or allergies. If no health concerns, please write "none."

Other Things to Know

Please provide any other information you would like us to know.

Do you have another child? *

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