Jefferson Avenue VBS
July 7-10, 2019
5:45-8:15
Child's Name *
Your answer
Grade *
Age *
Shirt Size *
Name of Parent/Guardian *
Your answer
Phone Number *
Your answer
Address *
Your answer
Child's Allergies *
Your answer
Names of individuals authorized to pick up your child: *
Your answer
Photography Release *
I give Jefferson Avenue Church of Christ permission to photograph my child during VBS which may be used on social media, our website, or any promotional material.
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