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Hope Presbyterian Church VBS Registration--2024
When: June 24-27, 2024 from 9am-12pm
Where: 13490 Benn's Church Blvd., Smithfield VA 23430
Contact us at (757) 377-9641 or
kat@hopepca.com
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Participant registration
If you need to register more than one child, please complete this form for first child, and then complete the form again for each additional child.
Child's Full Name (and nickname, if used)
*
Your answer
Child's Age
(eligible ages are 4 -10ish)
Your answer
Parent's Name
*
Your answer
Parent's E-mail
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Relationship to Child
*
Parent
Grandparent
Other:
Emergency Contact Phone
*
Your answer
Emergency Contact Address
*
Your answer
Which days will your child attend?
*
All days
Monday, June 24th
Tuesday, June 25th
Wednesday, June 26th
Thursday, June 27th
Required
Any food allergies?
*
None
Yes (please list allergies on "other" line)
Other:
Required
Media Release/Permission
During Hope’s Vacation Bible School (VBS), we will be taking pictures of the children during our daily activities. We would like to be able to share pictures of this event on our Facebook page and/or Hope Presbyterian Church website. Please indicate your permission below, understanding that photographs will only be used to promote future VBS events and children’s ministry at Hope.
Please indicate your permission for photo release:
*
I give permission for my child to have his/her picture taken.
Required
Anything else you would like to tell us?
Your answer
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