VBS Registration Form 2019
June 10-14, 2019 | 8:30 - 1:30
Bonaire UMC | 221 Church Street, Bonaire GA, 31005 | 478-923-7317
Child's First & Last Name
Parent/Guardian First & Last Name
Best Contact Number
Grade Completing 2018-2019 School Year
Child's Medical Information - A VBS representative will reach out to you to find out more information for responses besides "None".
Other, please contact me to discuss.
Emergency Contact Name & Phone Number - Please list someone other than the parent/guardian listed.
Only parent/guardian listed is allowed to pick up my child.
The Emergency Contact is allowed to pick up my child.
I will provided you with a list of adults that may pick up my child.
Does your family attend a local church?
Would you like to purchase a VBS t-shirt? ($10 each)
Child Extra Small
Yes, you may take pictures of my child for promotional use.
No, you may not take pictures of my child.
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