Vacation Bible School

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Vacation Bible School

NOTE:

To be eligible for a $50, $35, and $25 cash drawing, you must register before June 25th and attend all three days. There will be other opportunities to win prizes. Invite a friend to attend VBS. For more information, see the Pastor. We need class facilitators and support people for this event.

Parent/Guardian's Name *

First

Last

Will Your Spouse Be Attending?

Spouse

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Please list any additional adults authorized to pick up your child:

Child's Details

Child 1 Information

First

Last

Birthdate

Allergies?

Which allergies?

Child's Grade

Do you want to register child 2?

No
Yes

Child 2 Information

First

Last

Birthdate

Allergies2?

Which allergies2?

Child's Grade

Do you want to add Child 3?

No
Yes

Child 3 Information

First

Last

Birthdate

Allergies3?

Which allergies3?

Child's Grade

Do you want to add Child 4?

No
Yes

Child 4 Information

First

Last

Birthdate

Allergies4?

Child's Grade

Are there additional children?

No
Yes

Add their names on a new form.

Please check meals you want your child to receive.

Breakfast
Lunch
Snacks

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