Sandy Grove Missionary Baptist Church Vacation Bible School Registration 2023

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Child's Name *

Child's Date of Birth *

YYYY

Child's Age *

Parent/Guardian Name *

Cell Phone *

Work Phone or Home Phone *

Mailing Address *

Email Address *

Medical Information (please list any allergies or medication) *

Dismissal Information (please list the names and phone numbers of who can pick up your child) *

May we photograph your child and use pictures for church social media and records? *

Yes

Is your child a member of Sandy Grove or visiting? *

Yes, they are a member

No, we are visiting

If visiting please tell us what church or community you are from! *

Emergency Contact Information #1 (please list their name, relationship to child, phone number and email) *

Emergency Contact Information #2 (please list their name, relationship to child, phone number and email) *

T-Shirt Information (the prices for your shirts are $5 per child. Please turn this money in when registering your child) *

Youth Small

Youth Medium

Youth Large

Youth X-Large

Option 5

Other:

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