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2019 Vacation Bible School Registration
July 8-12 8:30 - 12:00 3 yrs old through completed 5th grade
Parent/Guardian Names *
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Home Phone Number *
Your answer
Street Address *
Your answer
Cell Number
Your answer
City *
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Work Phone Number
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
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Emergency Contact Relationship *
Your answer
Do you attend Sunday School? *
If so, where?
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If you are visiting Trinity, who are you a guest of?
Your answer
What school are you zoned for?
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May we have permission to photograph your child? *
May we have permission to use your child's photograph in church publications for the purpose of promotion? *
Child 1 Name
Your answer
Child 1 Date of Birth
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Child 1 Age
Your answer
Child 1 Last Grade Completed
Is there medical info. or food allergies we need to know about child 1?
Your answer
Child 2 Name
Your answer
Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 2 Age
Your answer
Child 2 Last Grade Completed
Is there medical info. or food allergies we need to know about child 2?
Your answer
Child 3 Name
Your answer
Child 3 Date of Birth
MM
/
DD
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YYYY
Child 3 Age
Your answer
Child 3 Last Grade Completed
Is there medical info. or food allergies we need to know about child 3?
Your answer
Child 4 Name
Your answer
Child 4 Date of Birth
MM
/
DD
/
YYYY
Child 4 Age
Your answer
Child 4 Last Grade Completed
Is there medical info. or food allergies we need to know about child 4?
Your answer
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