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2023 Vacation Bible School
Ready, Set, MOVE! Follow Jesus here, there and everywhere!!
NOTE: ONE CHILD PER FORM.
*If you have more than one child, please click on the link at the end and repeat the process.
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* Indicates required question
Name of Student (one student per form)
*
Your answer
Grade completed as of June 2023
*
Pre-K *MUST have attended 1 full year of Pre-K*
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Volunteer
Required
Parent/Guardian Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Person(s) allowed to pick up child
*
Your answer
List any allergies or medical conditions
*
*N/A if no allergies or medical conditions apply to your child*
Your answer
Henry VBS has my permission to use my child’s pictures or videos in promotional materials and closing program live stream.
*
Yes
No
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