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VBS REGISTRATION (June 11th-16th) 6:00-8:30pm
One Form Per Child
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* Indicates required question
Child's Name (If Other Children Fill Out New Form)
*
Your answer
Grade most recently completed
*
Pre-k ) ages 3+
Kindergarten
1st
2nd
3rd
4th
5th
Special Needs
Parent/Guardian Name
*
Your answer
Parent/Guardian Contact Number
*
Your answer
Parent/Guardian Email Address
*
Your answer
Home Address (include zip code)
*
Your answer
Allergies (IF NONE PUT N/A)
*
Your answer
Emergency Contact Number
*
Your answer
Do you give permission for the Church to take and share photos of the event that may include your child?
*
Yes
No
Childs T-shirt size
*
Youth XS
Youth Small
Youth Medium
Youth Large
Youth XL
Adult XS
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
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