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Vacation Bible School Registration
Event Timing: June 21-25, 2021
Event Address: Whitehall Naz @ 739 S. Yearling Road, Whitehall, OH 43213
Contact us at: (614) 231-6547 or
whitehallnaz@gmail.com
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Email
*
Your email
Child's First & Last Name
*
Your answer
Child's Home Address (Street, City, State, Zipcode)
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Last Grade Completed (Preschool-6th)
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
What days will your child attend?
*
All 5 Days!
Monday, June 21
Tuesday, June 22
Wednesday, June 23
Thursday, June 24
Friday, June 25
Required
My family will be attending June 27th Sunday Service & Cruise-In/Car Show!
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Yes
No
Hopefully!
Required
Does your child suffer from any allergies, food or otherwise?
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None
Peanuts
Grass
Other:
Does your child have any health or behavioral concerns we should be aware of?
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None
Other:
I commit to picking up my child/children promptly at 8:30 PM each evening after VBS.
*
Yes
Other:
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