Vacation Bible School 2019
June 3rd-7th- 8:30am-12:00pm
Parent/ Guardian Name
Home phone #
Cell phone #
Child's Birth Date (Including Year)
Last grade complete in school
Medical (List any Allergies or Information we need to know about)
Emergency Contact's Name
Emergency Contact's Phone #
Who may pick up your child?
Is your family active in a church?
May we have permission to photograph your child and use it for the purpose of promotion?
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