Vacation Bible School Registration 2023

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All children, ages 4 and above are welcome. Three-year-olds are welcome to attend with an accompanying parents/guardian.

Questions can be directed to 410-667-6054 or jackistranathan@epworthchurch.org

VBS 2023: Hearts on Fire

Child's First Name *

Child's Last Name

Child's Date of Birth *

YYYY

Child's Grade (2023-24 year) *

Child's Address (include street, city, state, zip) *

Parent/Guardian First and Last Name *

Parent/Guardian Cell Phone *

Parent/Guardian Email *

Emergency Contact (first and last name, different from parent/guardian above) *

Emergency Contact Phone Number *

Special needs or allergies

Persons permitted to pick child up from VBS, their relationship to child, and phone numbers *

Photo release: do you agree to allow photos of your child to be used in church promotional materials? This may include materials that are printed, on social media, and website. No names of children are used. *

Yes

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