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2023 VBS Student Registration Form
First Baptist Church Salisbury
June 5-8, 2023
8:15 a.m.-12:15 p.m.
PreK - Rising 6th
Childcare for VBS workers birth-3
If you have multiple children attending, please fill out a form for each child.
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* Indicates required question
Child's Name
*
Your answer
Child's Age
*
Your answer
Child's Birth Date
*
MM
/
DD
/
YYYY
Child's Grade
*
Your answer
Parent/Guardian Names
*
Your answer
Cell Phone Number
*
Your answer
Email
*
Your answer
Emergency Contact 1 Name and Phone #
*
Your answer
Emergency Contact 2 Name and Phone #
*
Your answer
Doctor's Name and Phone #
*
Your answer
Allergies or Special Concerns
*
Your answer
Who may pick your child up at the end of each VBS day?
Name and Relationship
*
Your answer
Are you a VBS worker?
*
Yes
No
If a VBS worker, will you need childcare?
Yes
No
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I attend church at
*
Your answer
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