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Harmony Baptist VBS Registration 2019
June 17th - 21st 5:30 pm - 8:30pm
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Category of Last Grade Completed at end of this school year
*
Choose
0 years - Pre K
Kindergarten - 1st Grade
2nd - 4th Grade
5th - 7th Grade
8th - 12th Grade
Adult
Address
*
Your answer
Parent Name
*
Your answer
Parent Email
*
Your answer
Parent Phone Number
*
Your answer
Additional Emergency Contact (name & phone number)
Your answer
T-Shirt size
*
Choose
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Dismissal Information (how will your child leave the church)
*
Car Rider
Bus
Other:
Allergies/ Medical Information
*
Your answer
Do we have permission to use your child's photograph for the purpose of promotion of VBS on social media?
*
Yes
No
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