Child Form for Shipwrecked VBS 2018
Vacation Bible School will be
JUNE 11TH-15TH
from 9am to NOON Each Day
@ 1210 Bellaire Blvd (Bellaire Main Campus)
Child's Gender *
Child's Birthday *
MM
/
DD
/
YYYY
Child's AGE *
Your answer
Last School Grade Completed *
Address (House Number and street Name) *
Your answer
Address (City) *
Your answer
Address (zip code) *
Your answer
Parent Name *
Your answer
Parent Cell Phone *
Your answer
EMERGENCY CONTACT (Person Name, Person Relation to child, & Persons Phone Number) *
Your answer
Childs T-shirt Size (If interested in a Shipwrecked VBS T-shirt the cost is $10. T-shirts will be Available to Purchase on Monday the week of VBS)
Does your Child have any ALLERGIES or Medical CONDITIONS?
Your answer
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