Vacation Bible School Registration Form
Please complete the following registration form (one form per child)

Date: July 21st-23rd
Time: 5:30 p.m. - 8:30 p.m.

Thank you and God bless!

**First 25 children to register will receive a free VBS T-Shirt
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Child's Name (First, Last) *
Grade Level (Pre-K- 5th Grade) *Most recently completed* *
Parent/Guardian Name (First, Last) *
Phone Number *
Email Address *
Allergies or other medical conditions (please specify). Type "None" if not applicable. *
I give permission for my child's photo to be taken for publicity use for the church's social media *
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