2024 Shiloh Christian Church VBS Registration
WHEN: Friday, June 7th (6 - 8:30 pm) and Saturday, June 8th (9 - 11:30 am)

WHERE: Shiloh Christian Church | 1047 N Co Rd 350 W, Logansport, IN 46947
              
FREE delicious snacks and drinks provided!

REGISTRATION DEADLINE: Friday, May 24th, 2024

(IMPORTANT: Please fill out a separate form for EACH child you are registering and complete a Parental Consent & Liability Form when you drop your child(ren) off at VBS. Thank you!)
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Email *
Child's First and Last Name:  *
Child's Birthday:  *
MM
/
DD
/
YYYY
Child's Grade: *
What grade will your child be entering into in Fall 2024?
Does your child have any allergies? If so, please list below. *
Does your child have any special needs? If so, please list detailed information so we can better serve your child. *
Parent/Guardian First and Last Name:  *
Parent/Guardian Address: *

Parent/Guardian Phone Number:  *
Emergency Contact Name (other than parent/guardian listed above in case we cannot reach them)  *
Emergency Contact Phone Number 

 *
A copy of your responses will be emailed to the address you provided.
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