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2023 VBS Registration
9:00am - 12:15pm, June 26th - 30th at Tillamook First Christian Church
PLEASE NOTE: If you are completing this online registration,
a parent/guardian
must
be present at drop off on the first day of VBS to sign liability waiver.
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* Indicates required question
Child's Name
*
Your answer
Grade (this fall)
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Age
*
Your answer
Gender
*
Male
Female
T-Shirt Size
*
(Select youth or adult and size)
Adult
Youth
XS
S
M
L
XL
XXL
Required
Mailing Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Parent/Guardian Names
*
Your answer
Phone Number
*
Please note whether cell, home, or work.
Your answer
Email
*
Your answer
Home Church
*
Your answer
In Case of Emergency Please Contact
*
Please include name, phone number, and relationship to child.
Your answer
Medical Information
*
Please list allergies to medication, food, plants, or insects and any other medical concerns.
Your answer
Permission to Pick Up
*
Please list
all
persons who may pick up this child from VBS.
Your answer
I give my permission for my child's picture to be included in VBS posts on the church's website or Facebook page...
*
Yes
No
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