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VBS Sign up
This is to sign up for Hiland Presbyterian Church's VBS June 9-12 and/or Northmont Presbyterian Church's VBS June 16-20.
Please do 1 Child per sign up.
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Email *
Which camp will your child be attending? *
Required
Childs Name *
Child Birth Date *
MM
/
DD
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YYYY
Childs Address *
Childs age as of June 1, 2025 (Must be at least 3 and fully potty trained) *
Childs completed grade as of June 1, 2025 *
Any allergies or Medical issues *
Anything else we should know about this child?
Emergency Contact(s) Name and Phone Number *
Parent/Guardian 1- Name and Number *
Parent/Guardian 2- Name and Number
If you are coming to Hiland, How many people in your group can we expect for dinner at 5:30pm each day?
If you are signing up more than one child, please only fill this part out once. 
None
1
2
3
4
5
6
7
more. Hiland will contact you for specifics
Monday June 12
Tuesday June 13
Wednesday June 14
Thursday June 15
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Nature of Activities and Photo Statement 
I understand the nature of the activities and the health and safety measures. I give permission for my child to attend and participate in activities on the church property. I give permission for my child to be photographed/videotaped and for Hiland Presbyterian Church and/or Northmont Presbyterian Church to use the pictures for publicity purposes. I understand and agree to cooperate with all regulations and procedures.
 *
A copy of your responses will be emailed to the address you provided.
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