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VBS & Parent Conference Registration
Date: June 23-26
Time: Dinner at 5:15 pm; VBS & Conference from 6:00-8:00 pm
Address: First Baptist Covington, 1139 Usher St. NW Covington, GA 30014
Cost: FREE (including dinner)
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Parent Information
Email Address:
*
Your answer
First Parent/Guardian's Full Name:
*
Your answer
Second Parent/Guardian's Full Name:
Your answer
Phone:
*
Your answer
Will you and/or your spouse be attending the parent conference?
*
Choose
I plan to attend
Both of us plan to attend
No, I/we cannot attend
Child Registration
Please note that childcare for ages 0-2 is only available for parents attending the conference.
Child 1 Name:
*
Your answer
Child 1 Birthdate:
*
MM
/
DD
/
YYYY
Child 1 Age or Last School Grade Completed:
*
Choose
Baby
Age 1
Age 2
Age 3
Age 4
Age 5
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Child 1 Allergies?
*
Your answer
Would you like to register a second child?
*
Yes
No
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