Walled Lake Church of Christ VBS Registration Form (2024)
Walled Lake Church of Christ
1403 N Pontiac Trail
Walled Lake, MI 48390
(248) 624 - 4600
walledlakechurchofchrist@gmail.com
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Child's Name (One form per child, please) *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Grade Completed *
Food allergies
Medical Concerns
Accommodations or considerations for this child
Guardian Name(s) *
Home Address *
Phone *
Email Address *
Any church affiliation or membership
Emergency Contact Person  *
Emergency Contact Number *
Person(s) who may pick up the child *
Vacation Bible School leaders have permission to photograph or film the child above for any lawful purpose associated with this program at the Walled Lake Church of Christ. *
Everyone is invited to a grill-out meal at 12:30 pm! Total number of people, including guardians, who plan on attending:
If completing multiple registrations, only answer once. Thank you! 
Thank you for giving us the opportunity to teach your child(ren) more about God and give them the opportunity to have fun while learning!
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