2017 Vacation Bible School at the Quechee Church Registration
Vacation Bible School at the Quechee Church will be held Tuesday, July 11th to Thursday, July 13th from 9:00 am to 11:30 am.

Below you will find our online registration. Please fill out the family contact information at the top of the page. Then fill out the name, date of birth, grade and allergies for each child you would like to register. Make sure to click the submit button at the very bottom of the page.  

Please sign the permission form and legal release at HelloSign link following your registration.  If you would like a paper copy to sign, please email quecheechurch@gmail.com.
 
Questions? Contact the Ryan Bouton (603-643-5588 or ryan.bouton@christredeemerchurch.org).

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Family Information & Emergency Contacts
Family Name *
Parent/Guardian #1 & Daytime Phone Number *
Parent/Guardian #2 & Daytime Phone Number
In case of emergency, first contact should be:
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Email Address *
Home Address *
Emergency Contact & Phone Number *
Pediatrician & Phone Number *
Pediatrician information will be provided to the hospital in case of a serious emergency.
First Child's Registration
First Child's Name *
First Child's Date of Birth *
First Child is Entering *
First Child's Allergies *
Second Child Registration
Second Child's Name
Second Child's Date of Birth
Second Child is Entering
Second Child's Allergies
Third Child Registration
Third Child's Name
Third Child's Date of Birth
Third Child is Entering
Third Child's Allergies
Fourth Child Registration
Fourth Child's Name
Fourth Child's Date of Birth
Fourth Child is Entering
Fourth Child's Allergies
Do any of your children require special assistance? *
Please describe the need below. If you have more than one child registered, please also indicate which child/children require special assistance.
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How did you hear about the Quechee Church's Vacation Bible School
Additional Comments
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