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Children's VBS Registration 2019
PRESCHOOL TO RISING 5TH GRADERS

PLEASE FILL OUT ONE FORM PER CHILD
River Rock @ Odell Baptist Church
6320 Davidson HWY
Concord, NC 28027

VBS 2019
Name
Your answer
Parent/Guardian name
Your answer
Address
Your answer
Phone number (best to reach you at)
Your answer
Email
Your answer
Last grade completed in school
Your answer
Medical information (allergies etc)
Your answer
Emergency contact
Your answer
Dismissal information ( who may pick your child up from VBS)
Your answer
May we have permission to photograph your child?
May we have your permission to use your child's photograph for purpose of promotion?
Would you like more information on River Rock@Odell Baptist Church?
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