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University Baptist VBS 2024
Monday - Friday, June 17 - 21, 9:00-12:00 (Drop off begins at 8:30)
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Child's name
Your answer
Date of birth (must be 4 by June 17, 2024)
MM
/
DD
/
YYYY
Last Grade Completed
Your answer
May we use photographs/videos of your child, without her/his name, on our church website and social media pages?
Yes
No
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Parent's Name?
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Parent e-mail(s)
Your answer
Parent phone number(s)
Your answer
Allergies/Dietary Restrictions?
Your answer
Mobility/accessibility/developmental/learning needs?
Your answer
EMERGENCY CONTACT #1 (Name, relationship, phone number)
Your answer
EMERGENCY CONTACT #2 (Name, relationship, phone number)
Your answer
People (in addition to parents and emergency contacts) who MAY pick up my child from VBS
Your answer
People who MAY NOT pick up my child from VBS
Your answer
Any of your child's siblings/friends who should (or should not) be in the same VBS group? (We will try to accommodate requests but cannot make any guarantees)
Your answer
Anything else you would like us to know?
Your answer
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