ROAR VBS 2019 (July 21-25)
Please fill out the form below to register for VBS 2019 at the Baxley Church of God!
Parent/Guardian *
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Phone Number *
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Address
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Child's First & Last Name *
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How old is your child? *
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Please select the last grade your child completed?
Does your child have any medical conditions we need to be aware of? *
If yes to the above question, please list all medical conditions for your child and critical information for our staff
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Emergency Contact & Phone Number *
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Emergency Contact & Phone Number#2
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Email Address
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