Amped VBS Registration
Email address *
Ridge Baptist Church, July 9-13, 9 a.m. to 12 noon
Child's Name *
Your answer
Parent (Guardian) Name *
Your answer
Email *
Your answer
Address *
Your answer
Phone Number *
Your answer
Child's Age *
Child's Birthdate *
Your answer
Last Grade Child Completed *
Allergies/Medical Information *
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Emergency Contact #1 Name *
Your answer
Emergency Contact #1 Phone Number *
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Emergency Contact #2 Name *
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Emergency Contact #2 Phone Number *
Your answer
Any Other Information We Should Know About Your Child
Your answer
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