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 *
Child's First Name *
Parent/Guardian Full Name *
Home Address (Street, City, State, Zip code) *
Mailing Address (if different) *
Home Phone (XXX) XXX-XXXX
Work Phone (XXX) XXX-XXXX
Cell Phone (XXX) XXX-XXXX
Email *
Birthdate *
MM
/
DD
/
YYYY
Last Grade Completed *
Medical Information - Medical or other information we need to know.  Please include any food allergies.
Emergency Contacts - Other than listed above.  Names & Phone Numbers
Dismissal Information - Who may pick up your child at the end of each VBS day? *
Does your child attend Sunday School?  If so Where?
If your child is visiting our church, who is he/she a guest of?
May we have permission to photograph your child for our own  congregation? *
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