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Highland Park Baptist Church VBS Registration
Please fill out one for EACH child, youth or adult in your household that plans to attend VBS
VBS Dates: June 11th-15th Time 6:00-8:20
Dinner will be provided each night
We have classes for babies-adults including an extra adult class for parents!
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* Indicates required question
Email
*
Your email
Name of the person planning to attend VBS
*
Your answer
Parent/Guardian Name
*
If under 18. This person will be used as Emergency contact. If you are an adult (18+) please put N/A
Your answer
Address
*
Your answer
Cell Phone Number
*
Emergency contact number
Your answer
Birthday
*
MM
/
DD
/
YYYY
Age/Grade Level
*
*Age (they currently are) or grade they will be entering as of Fall 2023
0 - 2 years old
Pre-K (Potty Trained)
K-1 Grade
2nd - 3rd Grade
4th - 5th Grade
Middle School (6th, 7th, 8th Grade)
High School (9th, 10th, 11th, 12th Grade)
Adult
Medical Information
*
Medical or other information we need to know. (Please include any food allergies.)
Your answer
Emergency Contacts
*
In addition to the names listed above (Names AND phone numbers)
Your answer
Do we have permission to photograph you or your child?
*
Yes
No
Do we have permission to use you or your child's photograph for promotional or social media purposes?
*
Yes
No
If you are visiting our church, who are you a guest of?
Your answer
How did you hear about our VBS?
Church member
Social Media
Other
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