2024 Scuba VBS Registration Form
Save the dates - VBS at Bangor Liberty Friends Church begins July 7th with a family picnic & pool party at the Eldora Aquatic Center from 6-8:30 pm. July 8th-12th at Bangor Liberty Friends Church. Supper begins at 5:30 pm with VBS activities following from 6:15-8:15 pm.
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Parent(s)/Guardian(s) Name(s) *
Children's Name(s) (First Last), Age(s) - ages 4 years old through completion of 5th grade (Nursery age if parent is a volunteer) *
Mailing Address *
Email Address(es) *
Home Phone Number *
Cell Phone Number(s) *
Special Considerations - Allergies, Dietary, Medical, etc. *
Emergency Contact(s) - Name, Relationship, Phone Number(s) *
I give permission for my child's or children's photos or videos to be used for publicity on Bangor Liberty's and Honey Creek New Providence's website or social media posts as well as other possible publicity materials (newspaper articles, posters, etc.) *
See you there!
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