VBS 2019 Registration Form
SASDAC Vacation Bible School, July 15-20, 2019, 6:00 - 8:30 pm
*Pre-Registration online closes July 13, 2019 at 11:59 pm. On-site registration will begin at 5:30 pm on July 15, 2019.
Child 1 Full Name *
Your answer
Age *
VBS is for ages 4-12. Any child below or above that age at the time of VBS will unfortunately not be allowed to participate.
Your answer
Date of Birth *
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DD
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YYYY
Last School Grade Completed *
Your answer
Special Needs/Allergies/Medical Information/Other *
Your answer
Friends of Your Child at This Church
Your answer
Parents' Names *
Your answer
Child 2 Full Name
Your answer
Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Last School Grade Completed
Your answer
Special Needs/Allergies/Medical Information/Other
Your answer
Friends of Your Child at this Church
Your answer
Address *
Your answer
Email Address *
Your answer
Phone Number *
Please list the best number you can be reached at.
Your answer
Home church *
Your answer
Emergency Contact: Full Name and Contact Number *
This person will be called in the case of an emergency if the parent/guardian cannot be reached. If emergency contact is not the parent, please specify relationship to child.
Your answer
Designated Pick Up Person (Other than Parent/Guardian) *
This is the person(s) allowed to pick up the child if the parent/guardian cannot. Anyone attempting to pick up the child who is not listed here will not be allowed until the parent/guardian is reached and gives permission to the VBS director. Also, once the child(ren) have been signed out they become the responsibility of the designated pick up person and are no longer under the supervision or care of VBS, its volunteers, or Southern Asian SDA Church
Your answer
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