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VBS 2018 Child Registration Form
We are excited about the opportunity to spend a week with your child exploring God's Word as we dive down deep and are Submerged! Please provide the necessary information to complete the following form.
Child's Name*
Home/Cell Phone*
Work Phone
Age Information
(Child must be 4 on or BEFORE Sept. 1, 2017)
Birth Date*
Last grade completed in school*
Medical Information
Medical or other information we need to know. Please include any allergies.
Emergency Contacts
ER Contact 1 Name*
ER Contact 1 Phone Number*
ER Contact 2 Name
ER Contact 2 Phone Number
Dismissal Information
Who may pick up your child at the end of each VBS day?*
Other Information
Does your child attend Sunday School?*

If so, where?
If your child is visiting, with whom did he/she come?
May we have permission to photograph your child?*

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


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