Vacation Bible School 2024
June 3-7
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Student Name *
Date of Birth *
MM
/
DD
/
YYYY
Last Grade Completed *
Parents Name *
Address *
Phone Number *
Email
Home Church
T-Shirt Size *
Allergies or Medical Conditions *
Emergency Contact (In the event the parent cannot be contacted) *
Emergency Contact Phone # *
Emergency Contact Relationship to Student *
Photos will be taken during VBS. Do we have permission to post these photos on the church social media and website? *
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