Hebron's Roar VBS
June 17-21, 9:00am-12:00pm
Hebron Presbyterian Church | 1040 Shallow Well Rd | 804.784.4018 | hebrondce@comcast.net
* Please submit a separate form for each participant *
Child's Last Name *
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Child's First Name *
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School Child Attends (2018-2019 school year) *
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Grade to be COMPLETED this school year *
Name of Parent/Guardian *
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Mailing Address *
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Email Address *
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Phone Number *
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Any allergies we should know about? [food, insects, etc]
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Any medical issues we should know about?
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Emergency contact during VBS [name and phone number] *
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Photo Release: We will be taking photos throughout VBS. Do you give permission for us to use photos of your child on the church website and social media (Facebook and Instagram)? *
Kids will be in small mixed-grade groups of 5, with several small groups following the same schedule during the day. Is there a "buddy" your child would like to be with in the same rotation group? (preschoolers will be grouped separately from elementary-aged children)
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Interested in volunteering? *
What church does your family attend?
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Comments and/or Questions
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