NorthRidge Sabetha VBS Registration 2019
Please fill out one for each child.
Child's Last Name
Your answer
Child's First Name
Your answer
Grade (entering in Fall)
Parent/Caretaker Name
Your answer
Address
Your answer
Phone Number
Your answer
May we send text messages to this number in the case of an emergency?
Emergency Contact Name
Your answer
Emergency Phone Number
Your answer
List of the names of anyone else who may pick up your child:
Your answer
I give permission for my child's photo to be used by NorthRidge Church.
Please list any special concerns:
Your answer
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