North Jackson Church of Christ VBS Registration 2023
North Jackson's VBS will be held June 21-23, 2023. On-site registration/intake will be from 6:00-6:30pm each evening.  Classes will begin at 6:30pm and will end by 8:00pm.  Please complete the form below to register your child or children for this year's Vacation Bible School.  Please complete all information to help us make this a safe and encouraging experience for you child. Please complete one form per child.  Once you submit the first child, there will be a link to register another child.
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Child's First Name *
First name please.
Child's Last Name *
Last name please.
Child's association with North Jackson *
Child T-Shirt Size:
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Child's Age *
Child's Class or Group *
If this child is in school, indicate the grade he/she will enter in the fall. Ages 4 yo and above will be attending centers. Ages 3 and below will be in self contained classes
Does this child have any allergies, medical conditions or other special needs about which the VBS staff need to know?  If there is, please state what it is in the "other" blank. *
Remember that refreshments will be served during VBS.  Be sure to list any food allergies.
Child's Street Address *
Child's City and State *
Child's Zip Code *
Emergency Contact FIRST NAME: *
This needs to be a person in the building with the child who is authorized to make decisions for this child.  
Emergency Contact LAST NAME: *
This needs to be a person in the building with the child who is authorized to make decisions for this child.  
Emergency Contact CELL NUMBER: *
This needs to be a person in the building with the child who is authorized to make decisions for this child.  
First and last names of all individuals who are authorized to pick this first child up from VBS? *
In order to help ensure the safety of your children, children will only be released to authorized adults.  
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