VBS 2017 archive

VACATION BIBLE SCHOOL 2017

JUNE 19-23, 2017
9 am - 12:30 pm
* children who have completed kindergarten
through sixth grade

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and the form will come back up)

ONLINE REGISTRATION

The safety and security of our children is of utmost importance. Consequently, please complete one form for EACH child that may be participating. Thank you so much!

Child's Name *

First

Last

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different) *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Home Phone *

Work Phone *

Mobile Phone *

Child's Birthdate *

Last Grade COMPLETED in School *

Medical Information: (What do we need to know? Please include food allergies.) *

First Emergency Contact (other than listed above) *

First

Last

First Emergency Contact Phone Number *

Second Emergency Contact (other than listed above) *

First

Last

Second Emergency Contact Phone Number *

Other than Parent/Guardian listed above, who may pick up your child at the end of each VBS day? *

Does your child attend Sunday School and/or Church each week? *

If so, which Church? *

How did you learn of our VBS? Please check all that apply. *

Friend and/or Other? *

May we have permission to photograph your child? *

May we have permission to use your child's photograph for the purpose of future promotion of our VBS? *

Comments *

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VACATION BIBLE SCHOOL 2017

ONLINE REGISTRATION

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