2023 VBS Registration
June 5-9 // 5:30 - 8PM
Evans Creek Baptist Church
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Child's Name *
Parent / Guardian Name *
Mailing Address *
Child's Birth Date *
MM
/
DD
/
YYYY
Last Grade Completed *
Please List Any Medical or Allergy Information We Need To Know (Write 'None' if there isn't any) *
Emergency Contact - Please list names AND phone numbers! *
Who (other than you) may pick up your child from VBS?
Does your child attend Sunday School *
If yes, where?
Does your family regularly attend Church? *
If yes, where?
May we have permission to photograph your child? *
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