VBS 2024 Registration
Jungle Journey at Harvest Chapel
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Parent/guardian name *
Address *
Name of home church 
Preferred Phone # *
Email:
Child's name *
Child's gender
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Child's t-shirt size
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Age as of July 8, 2024 *
Food allergies, medical concerns - if none answer N/A
Child #2 Name *
Gender
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Child's t-shirt size
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Child's age as of July 8, 2024 *
Food allergies, medical concerns - if none answer N/A
Child's name #3 *
Child's gender
Child's t-shirt size
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Child's age as of July 8, 2024 *
Food allergies, medical concerns - if none answer N/A
Emergency Contact(s) name, relationship to child and phone # *
Permission to Photograph - we would like to use photos of your child(ren) in promoting Harvest Chapel's VBS. Names would not be used to identify the children. Please enter your name below to give your permission. *
I release adult supervisors and Harvest Chapel from responsibility for accidents during church-sponsored activities. In case of emergency, I, the parent/legal guardian of the above mentioned minors(s), give permission to Harvest Chapel to secure proper treatment for the health and comfort of my child until I can be reached. Please enter your first ad last name below to show we have your permission.
In case of bee stings, I give my permission for my child to receive Benadryl, an over the counter antihistamine. Please enter you first and last name below to show we have your permission.
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