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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Name of Student (one student per form) *
Grade completed as of June 2023  *
Required
Parent/Guardian Name *
Address *
Phone Number *
Emergency Contact Name *
Emergency Contact Number *
Person(s) allowed to pick up child *
List any allergies or medical conditions *
*N/A if no allergies or medical conditions apply to your child*
Henry VBS has my permission to use my child’s pictures or videos in promotional materials and closing program live stream.  *
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