VBS registration
Event Timing: June 14-18, 9am-noon
Event Address: 216 S 34th St, Omaha, NE 68131
Contact us at (402) 345-5383 or ajbaratta@fpcomaha.org
Child's Name *
Parent/Guardian Name *
Address *
Phone Number (Home and Cell) *
Email *
Child's Birth Date *
Last Grade Completed *
Shirt Size *
Medical Information or other information we need to know. (Please include any food allergies.) *
Emergency Contacts (other than listed above) Name & Phone Number *
Emergency Contacts (other than listed above) Name & Phone Number *
Who may pick up your child at the end of each VBS day? *
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
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