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Vacation Bible School Registration Form
@ International Bible Church, Jurbise (July 12 - 16, 2021)
... every day starts at 9:00 am and finishes at 12:00 pm
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* Indicates required question
This year's theme - Destination Dig (Lifeway)
My child's full name is: ... (for more than one child, please fill in the form several times)
*
Your answer
Parent / Guardian Name
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Your answer
Postal Address
Your answer
Parent's telephone numbers (also for emergency contact)
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Your answer
Parent's email address
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Your answer
My child's date of birth
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MM
/
DD
/
YYYY
Last grade completed in school
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Your answer
Does your child speak...
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English
French
Both English and French
Medical information. Is there any medical or other information we need to know?
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Your answer
Does your child have any allergies or special dietary requirements?
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Your answer
Who may pick up you child at the end of VBS each day ?
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Your answer
Do tell us anything else you think we might need to know so we can best welcome your child.
Your answer
Does your child attend Sunday School? If so where ?
Your answer
May we have permission to photograph your child ?
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yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
yes
no
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