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In the Wild VBS
We're heading on an adventure into the wild August 11-15 from 5-7:30 p.m. at Gateway Community Church! As usual, we'll include a kid-friendly dinner before we spend time singing, playing, and focusing in on Jesus. FREE!
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Child's Name
*
Your answer
Parent/Guardian Name
*
Your answer
Address
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Street, City, State, and Zip
Your answer
Phone Number
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Please give us a number where we can reach you.
Your answer
Email Address
*
Your answer
Child's birthdate
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MM
/
DD
/
YYYY
Last grade completed in school (if applicable)
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other:
Medical Information
Please include any special concerns, including food allergies. A dinner will be offered each night of VBS.
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Emergency Contact Name & Phone Number
*
Other than parent/guardian
Your answer
Dismissal Information
*
Who may pick up your child at the end of each VBS?
Your answer
Other Information
Do you attend Sunday School? If so, where?
Your answer
May we have permission to photograph your child?
*
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
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Yes
No
Are there any evenings this child will not be able to attend?
(We use this information to plan meals.)
Sunday
Monday
Tuesday
Wednesday
Thursday
Other:
Do you have another child you'd like to register?
*
Yes, I need to register more children to attend VBS.
Yes, I need to register a Teaching Assistant (child aged 10 yrs. or older)
No, submit completed form.
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