VACATION BIBLE SCHOOL
You KNOW that you need a break!
TEMPLE BAPTIST CHURCH
When and Where?
Event Timing: June 9th-12th, 2019 from 10:00am-1:00pm Event Address: 18841 SR31, North Fort Myers, FL 33917 Contact us at childrenspastor@templenfm.org or (239) 543-3222 Lunch will be provided! Children age 4 - 5th grade
Child 1 Name *
Your answer
Child 1 Birthdate *
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Child 1 Gender *
Child 1 Last Grade Completed *
Your answer
Child 1 Shirt Size *
Child 2 Name
Your answer
Child 2 Birthdate
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DD
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YYYY
Child 2 Gender
Child 2 Shirt Size
Additional Children (Name, birthdate, gender, last grade completed, and shirt size)
Your answer
Parent/Guardian Names *
Your answer
Home Address *
Your answer
Home Phone *
Your answer
Email *
Your answer
Does your family currently attend church? *
If yes, what church do you attend? *
Your answer
Photo Release Permission *
Required
Food Allergies (Please list child's name and allergies) *
Your answer
Medical Needs/Concerns (Please list child's name and allergies) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Persons Authorized To Pickup Child From VBS *
Your answer
Notes
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