VBS Registration
Event Timing: Saturday June 17-21, 2018 9am to 12pm M-F
Event Address:  2900 Ralph Avenue, Louisville, KY 40216

If you need transportation Contact us at (502) 447-2061

For any other questions or info email: contact@ralphavenuebaptist.com
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Email *
Child Name *
Child Birth Date *
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/
DD
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YYYY
Last Grade Completed *
Required
Parent/Gaudian Name *
Mailing Address *
Phone Number *
Medical or other information we need to know. (Please include any food allergies.) *
Emergency Contacts (other than listed above)                                                                                                                          Please List Name and Phone Number *
Who may pick up your child at the end of each VBS day? *
May we have permission to photograph your child? *
May we have permission to use your child’s photograph for the purpose of promotion? *
Does your child attend Sunday School?
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If so, where?
If you need more info or transportation contact 502-447-2061.
A copy of your responses will be emailed to the address you provided.
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