La Plata Baptist Church VBS Registration Form
Please fill out a SEPARATE form for EACH child attending. THANK YOU
Child's Name *
Age *
Grade last completed(Spring 2020) *
Mailing Address *
Phone Number *
Email address
Emergency Contact(s) (name and phone number) *
Allergies/Medical Concerns (Please type N/A if does not apply to your child) *
May we have permission to photograph your child?
Clear selection
May we have permission to use your child's photograph in church publications for the purpose of promotion?
Clear selection
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