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REGISTRATION FORM
If you wish to enroll your child in Vacation Bible School at Hilmar First Baptist Church, please fill out the information below. We hope to see you there!
Sunday - Friday (6:00pm - 8:30pm)
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* Indicates required question
Child's Name
*
Your answer
Parent/Guardian Name
*
Your answer
Address (street address, city, state, & zip code)
*
Your answer
Mailing Address (if different)
Your answer
Cell Phone Number
*
Your answer
Home Phone Number
Your answer
Work Number
Your answer
Email
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Last Grade Completed In School
*
Your answer
Medical Information or anything we need to know (please Include any food allergies)
Your answer
Emergency Contacts: Names & Numbers (other than listed above)
*
Your answer
Dismissal Information: Who may pick up your child at the end of each VBS day?
*
Your answer
Does your child attend Sunday School? If so where?
Your answer
If your child is visiting our church who are they a guest of?
Your answer
May we have permission to photograph your child?
*
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
Yes
No
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