Maker Fun Factory 2017 - Vacation Bible School Registration
Live registration is at 6:00pm July 17 - July 21, 2015.
VBS location is as 408 Broadway Rd, Dracut MA
Maker Fun Factory 2017 VBS
Child's Name *
Please provide First and Last names
Your answer
Child's Age *
Your answer
Child's Date of Birth *
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Child's Last School Grade Completed *
Your answer
Parent Name(s) *
Your answer
Street Address *
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City *
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State *
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ZIP *
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Home Telephone
Your answer
Parent Cell Phone
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Parent E-mail Address
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Home Church
Your answer
Child wants to stay with the following friend(s)
Your answer
How did you hear about our Maker Fun Factory 2017 VBS *
Required
Medical and Emergency
Allergies or other medical condition(s)
Your answer
Emergency Contact Name
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Emergency Contact Phone
Your answer
Emergency Contact Relationship to Child
Your answer
Acknowledgement
Photographs and/or video may be taken during this event. These images may also appear on our printed publications or on our church website. No names or personal information will be included without prior notification.

By clicking "submit" I agree to allow my child to participate in this event and allow them to appear in the photos and videos that are part of this program.

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