Vacation Bible School - Youth Registration

Our Vacation Bible School is June 19-23, from 6:30pm-8:30pm. VBS is for ages 3 through 12.

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VBS 2023 Registration Form

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Child's Name: *

Parent/Guardian Name: *

Address: *

E-mail address: *

Phone Number: *

Child's Age: *

Last Grade Child Completed: *

Emergency Contact Name: *

Emergency Contatct Number: *

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Medical Information/Allergies

Who may pick your child up each day? *

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