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VBS Registration - Preschool Through 4th Grade
August 7th-10th, 2023
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* Indicates required question
#1 Parent/Guardian First Name:
*
Your answer
#1 Parent/Guardian Last Name:
*
Your answer
#1 Phone Number:
*
Your answer
#1 Email Address:
*
Your answer
#2 Parent/Guardian First Name:
Your answer
#2 Parent/Guardian Last Name:
Your answer
#2 Phone Number:
Your answer
#2 Email Address:
Your answer
Emergency Contact:
*
Your answer
Emergency Contact Phone Number:
*
Your answer
Child's First Name:
*
Your answer
Child's Last Name:
*
Your answer
Child's Birthdate:
*
MM
/
DD
/
YYYY
Grade entering into:
*
Preschool
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
Special health concerns or allergies:
Your answer
Please include additional comments about physical or emotional conditions which will be helpful to the adult leaders:
Your answer
Will your child be coming for meal before VBS @ 5:15 - 5:45pm. - Freewill Offering
*
Yes
No
Will you (Parent) be coming for the meal before VBS @ 5:15-5:45pm - Freewill Offering
*
Yes
No
Will you be purchasing your child a VBS T-shirt ($10.00)
*
Yes
No
T-shirt Size
*
XS
S
M
L
XL
XXL
XXXL
Other:
Parent consent to print your child's picture:
*
I give my permission to have my child's photo displayed at church.
I give permission to have my child's photo on the website/facebook page.
I DO NOT give my permission to have my child's photo displayed at church
I DO NOT give permission to have my child's photo on the website/facebook page.
Do you have another child to register?
*
Yes
No
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