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Sebree FBC VBS 2023
Pre-registration for VBS at Sebree FBC
Ages: 4 years old (potty trained) - 6th grade & youth
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* Indicates required question
Child's Name:
*
First & Last
Your answer
Child's Gender:
*
Male
Female
Child's Birthdate:
*
MM
/
DD
/
YYYY
Child's Last Grade Completed:
*
Pre-School
Kindergarten
1st
2nd
3rd
4th
5th
6th
Food Allergies:
*
*Please list all food allergies
None
Other:
Required
Medical Concerns:
*
*Please list all medical concerns
None
Other:
Required
Address:
*
*Please include city, state, & zip code
Your answer
Parent/Guardian Name:
*
First & Last
Your answer
Phone Number:
*
Your answer
Emergency Contact:
*
First & Last Name
Your answer
Emergency Contact's Relationship to Child:
*
Mother
Father
Other:
Emergency Contact Phone Number:
*
Your answer
Name of Home Church:
*
Sebree FBC
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Other:
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