Boonville Baptist Church Vacation Bible School 2023, June 25th-29th @ 6-8:30 pm

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Please use this form to register your child to attend Bible School.

Please list your Child's First and Last Name. (If registering more than one child, please complete a separate form per child.) *

Please list your child's age. *

What class will the above named child need to be in? *

2 & 3-year olds

Preschool (4-year-old) & Rising Kindergarten

Rising 1st & 2nd Grade

Rising 3rd & 4th Grade

Rising 5th & 6th Grade

Parent/Guardian Name: *

Phone Number where we can reach you:
*

Email Address:
*

In the event we cannot reach you via phone during an emergency, please provide us with the name of an emergency contact. Name:
*

Emergency Contact Phone Number:
*

Does your child have any allergies or medical conditions we should know? Please include any food allergies.
*

Parental Consent: I hereby consent to let my child participate in Vacation Bible School at Boonville Baptist Church. It is understood that every precaution will be taken for the safety and well-being of my child, but in the event of accident or sickness, Boonville Baptist Church, its staff, and its volunteers are hereby released from any liability.

Do you agree to the above statement?

Yes

I understand that my child needs to be picked up at 8:30 pm. *

Yes

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