Junkyard Redemption VBS – Early Registration

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📅 June 7–10
⏰ 6:00 PM – 7:30 PM
📍 Brookdale Baptist church

2511 S Ridge Ave, Kannapolis, NC 28083

Child full name *

Gender (optional)

Male

Female

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Parent/Guardian Name

full name

Phone Number *

Email *

Allergies or Medical Conditions *

None

Food Allergies

Medical Condition

If one or more check please tell us on other

Other:

Required

Age *

What days will your child attend? *

Day 1

Day 2

Day 3

Day 4

Required

Emergency Contact Name and Contact Phone Number

full name

Permission for Photos

Do you give permission for your child to be photographed during VBS for church use (bulletin/social media)?

Yes

Who is authorized to pick up your child?

full name

I understand this is a free event and I am responsible for checking my child in and out each day.

Yes

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Church Home (optional)

If you currently attend a church, where?

How did you hear about VBS?

Church Member

Friend/Family

Flyer

Social Media

Other:

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