BHCC VBS REGISTRATION
Child's Name
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Grade Just Completed
Age
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Birthday
MM
/
DD
/
YYYY
Parent's Name
Your answer
Parents Phone
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Parent's E-Mail
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Parents Address
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City
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State
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Zip
Your answer
Emergency Contact During Week
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Emergency Contact Cell Phone
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Emergency Contact Home Phone
Your answer
Any Known Allergies (Snacks are provided each day. If your child has severe allergies, please provide their own snack.)
Your answer
Does your child have their own Bible?
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