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 *
Child's First & Last Name *
Child's Home Address (Street, City, State, Zipcode) *
Child's Date of Birth *
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DD
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Last Grade Completed (Preschool-6th) *
Parent/Guardian Name *
Parent/Guardian Phone Number *
What days will your child attend? *
Required
My family will be attending June 27th Sunday Service & Cruise-In/Car Show! *
Required
Does your child suffer from any allergies, food or otherwise? *
Does your child have any health or behavioral concerns we should be aware of? *
I commit to picking up my child/children promptly at 8:30 PM each evening after VBS. *
Required
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