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AMPED VBS Registration
Dates: June 25-29, 2018 9:00 AM- 12:00 PM
Event Address: Hope on the Beach 3834 US-98, Santa Rosa Beach, FL 32459
Contact us at (850) 267-0322 or jstein@hopeonthebeach.org
Email address *
Child's Full Name (First/Last) *
Your answer
Street Address *
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City *
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State *
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Zip *
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Phone Number *
Your answer
Parent/Guardian Full Name (First/Last) *
Your answer
Parent/Guardian Contact Number *
Your answer
Secondary Emergency Contact Full Name *
Your answer
Secondary Emergency Contact Number *
Your answer
What Church Are You A Member Of? *
School Grade Completed *
I would like to purchase a t-shirt for my child. Child's T-Shirt/Youth Sizes
What days will you attend? *
Required
Food Allergies (nuts, berries, etc.)
Your answer
Does your child have special needs? If so, will they require adult assistance?
Your answer
Get ready for VBS! Click the button below the "A" to complete your registration. When submission is complete, you will see a "Thank You" screen. You may save the link on that screen to update your registration information at any time. By completing this registration you GRANT permission for your child’s photo/image to be used in print as well as published online by Hope on the Beach and Christ the Redeemer Lutheran Church for publicity purposes.
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