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4th Grade VBS 2023 Registration
This form is for children that are CURRENTLY IN 4TH GRADE FOR THE 2022-2023 SCHOOL YEAR. Please go back to the VBS Home Page if this is not the correct age group for your child.
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Email
*
Your email
Child's Name (First & Last):
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Please confirm below that your child is currently in 4th Grade for the 2022-2023 school year:
*
YES
Required
T-Shirt Size:
*
Youth XS
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Required
Please List Allergies Below:
Your answer
Friend Request: We work hard to accommodate friends being in the same group (must be the same age and grade). Please include the names of friends you would like your child to be with for the week.
Your answer
Please Choose One:
*
Yes, you can take pictures of my child to be used on the church publications, such as website, social media, and morning announcements at church.
Yes, you can take pictures for craft projects only BUT please do not use in any church publications.
Parent Contact Name:
*
Your answer
Home Address:
*
Your answer
Contact Phone Number:
*
Your answer
Emergency Contact Name and Number:
*
Your answer
If someone different is picking up your child other than the names listed above, please include below:
Your answer
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