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Child Registration for VBS - June 24 - 27
Please submit a new form for each child attending VBS from your family.
Monday, June 24 - 9:00 - 11:00 am
Tuesday, June 25 - 9:00 - 11:00 am
Wednesday, June 26 - 9:00 - 11:00 am
Thursday, June 27 - 9:00 - 11:00 am
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Parent Name(s)
*
Your answer
Address
*
Your answer
Best Phone Number
*
Your answer
Cell Phone Number for Both Parents
*
Your answer
Emergency Contact (if parent is unable to be reached) Please include name, relationship to child, and phone number.
*
Your answer
Home Church
Your answer
Special situations the VBS team should be aware of (health restrictions, behavior struggles, etc)
Your answer
Age at beginning of VBS
*
Choose
Birth - Age 2
Age 3 (not potty-trained)
Age 3 (potty-trained)
Age 4
Age 5
Age 6
Age 7
Age 8
Age 9
Age 10
Age 11
Age 12
Last grade completed
*
Choose
Hasn't started school yet
Preschool
Pre-Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies
*
Your answer
Special Requests (example: a friend or grade you'd like your child placed with)
Your answer
T-Shirt Size (must be completed by May 24th to receive a shirt)
*
Choose
XS – (2-4)
S – (6-8)
M – (10-12)
L – (14-16)
Adult Small
Adult Medium
Adult Large
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