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VACATION BIBLE SCHOOL
VBS Registration
Classes are provided for children age 4 (by July 10,2011) thru those who have completed 5th grade.
Please fill out the following registration form to join us:
* denotes a required field
*Child's Name:
*Parent's Name:
Address
Phone Numbers
*Home/Cell:
Work:
Email:
Age Information
Date of Birth:
Last Grade Completed in School:
Emergency Contact
*Name:
*Home/Cell:
Medical Information (include any food allergies):
Who may pickup your child at the end of each VBS day?
Do you attend Sunday School? If so, where?
If you are visiting our church, who are you a guest of?
At the end of VBS we will send families a DVD/CD of pictures and materials.
May we have permission to photograph your child? Yes:
May we have permission to use your child's photograph for promotion? Yes:
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