Vacation Bible School 2019
Church of the Advent | 4484 SW Citrus Blvd. | Palm City, FL 34990
Contact us at (772) 283-6621 or adventpalmcity@bellsouth.net
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June 10-14, 2019 | 9:00 a.m. - 12:00 p.m.
Please fill out a separate form per child!
Child's Name: *
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Child's Age: *
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Date of Birth: *
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Last School Grade Completed *
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Name of Parent(s): *
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Address: *
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City, State, Zip *
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Cell Phone: *
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Email *
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Home Church: *
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Emergency Contact Name(s): *
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Emergency Contact Phone: *
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Emergency Contact Relationship to Child: *
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Allergies or Other Medical Conditions: *
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Dietary restrictions *
Approved Person(s) for Pick Up: *
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I understand that I will have to pay $10 before or upon arrival on June 10, 2019: *
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