VBS 2024 Registration
Register your child for Binkley's 2024 VBS
Theme: River of Life
When: June 17, 2024 -- June 21, 2024 -- 9am-12:30pm
Where: Binkley Baptist Church -- 1712 Willow Dr., Chapel Hill, NC 27514
** Submitting this form constitutes signing the regular paper registration form. **
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Email *
Name of Child 1 *
Child 1 Date of Birth *
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DD
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YYYY
Child 1 Grade completed in school *
Child 1 pronouns *
List all allergies, dietary restrictions and other special considerations for Child 1
Names and Phone numbers of parents/guardians *
List all names and phone numbers of all who can pick up your child(ren) from VBS
Emergency Contact (Cell, email)
I'm interested in helping out
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Name of Child 2
Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 2 Grade completed in school
Child 2 pronouns
List all allergies, dietary restrictions or other special considerations for Child 2
Submit
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