VBS Registration 2019 - Winter Park Baptist Church
June 24-28, 2019
9am to 11:45am
Ages: Pre-K (5 years before 8/31/19) through completed 5th grade
Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Age: *
Your answer
Birthdate: *
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DD
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YYYY
Completed School Grade: *
Ages: Pre-K (5 years before 8/31/18) through completed 5th grade to attend
Your answer
Parent/Guardian Name(s): *
Your answer
Cell Phone: *
Your answer
Email: *
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Emergency Contact(s): *
Please also denote cell phone of emergency contact if different from above
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With whom may child leave (other than parent/guardians)? *
Your answer
Does child attend church? If so, where? *
Your answer
Allergy Information: *
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Please share any other information that will allow us to help your child have a great VBS experience.
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