2019 Vacation Bible School Enrollment
First Presbyterian Church Galveston
July 22nd-26th
9:00 AM- 12:00 PM
Child's Name (First and Last) *
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Parent or Guardian Name (First and Last) *
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Phone Number *
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Secondary Phone Number
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Address *
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E-mail Address
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Date of Birth *
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DD
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Age of Child *
Last School Grade Completed *
Home Church
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Allergies (If none, type "N/A") *
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Medical Conditions (If none, type "N/A") *
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First Emergency Contact Name *
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First Emergency Contact Phone Number *
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Second Emergency Contact Name
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Second Emergency Contact Phone Number
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Name(s) of person(s) who may pick up this child from VBS *
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By checking this box, I affirm the information provided is accurate and up to date. I understand I will be required to sign a liability waiver before my child can participate in VBS. *
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