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REGISTER IN PERSON AFTER July 22nd- Online forms will not be accepted after that date. THANK YOU.
Complete the form below to register for Vacation Bible School- 6:00pm to 9:00 pm July 23rd -27th, 2018
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Indicates required field
Child's Name
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First
Last
Child's Home Phone
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Grade
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Child's Age & Date of Birth
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Guardian's Name
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First
Last
Guardian's Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Guardian's Cell Phone Number
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Guardian's Home Phone Number
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Email
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ALLERGIES & SPECIAL NEEDS: List allergies/special needs related to each child.
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Pick-Up Authorization- List the names of the adults which you authorize to pick up your child & their cell phone numbers
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List name and phone no. of adults permitted to pick up your children.
EMERGENCY CONTACT if Different from or in addition to the Guardian(s) Listed Above
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First
Last
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Phone Number
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If being brought by a friend who attends VBC, please list their name & home church below.
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Siblings attending VBS (separate each name by a comma
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Click only on the items to which you agree
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Use information for AWANA 2017 registration
Permission to photograph your child
Permission to photograph you
Use the photographs for the purpose of event and church promotions
GROUP NAME (For Church Use Only)
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Attendance: (For Church Use Only)
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Monday
Tuesday
Wednesday
Thursday
Friday
Submit