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Vacation Bible School Registration
You are invited to join us for Vacation Bible School on July 18-22, 2022, 8AM-11:00AM at:
VALLEY ISLE FELLOWSHIP
251 PUALALEA CIRCLE
WAILUKU, HI 96793
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Child’s Last Name
*
Your answer
Child's First Name
*
Your answer
Parent/Guardian Full Name
*
Your answer
Home Address (Street, City, State, Zip code)
*
Your answer
Mailing Address (if different)
*
Your answer
Home Phone (XXX) XXX-XXXX
Your answer
Work Phone (XXX) XXX-XXXX
Your answer
Cell Phone (XXX) XXX-XXXX
Your answer
Email
*
Your answer
Birthdate
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MM
/
DD
/
YYYY
Last Grade Completed
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Choose
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Medical Information - Medical or other information we need to know. Please include any food allergies.
Your answer
Emergency Contacts - Other than listed above. Names & Phone Numbers
Your answer
Dismissal Information - Who may pick up your child at the end of each VBS day?
*
Your answer
Does your child attend Sunday School? If so Where?
Your answer
If your child is visiting our church, who is he/she a guest of?
Your answer
May we have permission to photograph your child for our own congregation?
*
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No
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