2019 VBS: In the Wild!
June 17th - 20th @ Bethesda Baptist Church
Guardian Name(s): *
Guardian Phone #: *
Guardian email:
Address:
Child's Name *
Age *
Last Grade Completed *
Needed accommodations (allergies; including food allergies.):
Emergency Contacts and Phone Number
Who may pick up your child other than guardian listed above?
May we photograph your child and use the photos on our website or Facebook page? *
For questions and/or suggestions:
Contact us at
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