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Big Creek Baptist Church - Register for VBS in the City Park
Mon, June 13-Tues, June 14
12:30-3:00 PM
For Children: Age 4 - 6th Grade (Grade Fall 2022)
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* Indicates required question
FIRST AND LAST NAME
*
Please fill out a separate registration for each child.
Your answer
Parent/Guardian Name
*
Your answer
ADDRESS
*
Your answer
Phone Number
*
Your answer
EMAIL ADDRESS
*
Your answer
Child's Age / Grade (Fall 2022)
*
Age 4
Age 5
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Required
Medical Information:
Please provide any medical or other information we need to know (Please include any food allergies).
Your answer
Emergency Contact
*
Your answer
Dismissal Information
*
Who may pick up your child from VBS?
Your answer
You may photograph my child
*
Yes
No
Required
Would you like more information about our church?
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