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Maker Fun Factory VBS 2021
June 27-30 from 6-8 pm @ Harvest Fellowship in Hamler, OH
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* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Last Name
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Your answer
Child's Birthdate
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MM
/
DD
/
YYYY
Child's Current Age
*
4
5
6
7
8
9
10
11
12
Child's grade last completed
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preschool
kindergarten
1
2
3
4
5
6
NONE
Child's allergies
Your answer
Parent's name(s)
*
Your answer
Mailing address
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Your answer
Phone number
*
Your answer
We will be participating as a family
*
yes
no
Parent(s) who will be staying are:
Other:
Our child (named above) will be in our group.
*
yes
no
NA - Parents not able to stay
We would like to have other VBS participants in our group. (If you answer "yes," please fill out the volunteer form.)
*
yes
no
NA - Parents not able to stay
The ages of VBS participants we would like to have in our group are:
*
4 & 5
6 & 7
8 & 9
10, 11, 12
Not Applicable (no other children in our group OR parents not able to stay)
Emergency Contact name (if parent not able to stay)
*
Your answer
Emergency Contact number (if parent not able to stay)
*
Your answer
Person(s) authorized to pick up child (if parent not able to say)
*
Your answer
OCCASIONALLY PHOTOS AND VIDEOS MAY BE TAKEN DURING VBS. I GRANT PERMISSION FOR HARVEST FELLOWSHIP TO POST PHOTOS AND VIDEOS INCLUDING MY CHILD(REN) ON ITS WEBSITE OR OTHER MEDIA.
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