Bethany Church VBS 2019 Registration
July 15- July 19 ~ 9 a.m. - Noon
Family Night ~Thursday, July 12 @ 7 p.m.

4-year-olds to incoming 6th graders are invited to a week of free fun featuring Bible lessons, snack, games, crafts and more!

Questions?
(626) 962-8501 - bethanyonline.net
facebook.com/BethanyChildrensMinistries

Parent/Guardian Full Name(s) *
Your answer
Address *
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Parent Phone Number *
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Parent Email Address *
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Additional Parent Phone Number *
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Name/Contact Info of person other than parent/guardian to be contacted in case of emergency *
Your answer
Home Church
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Child's Name (First and Last) *
Your answer
Child's Birthday *
MM
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DD
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YYYY
Grade Entering in September *
Any health problems or food allergies we should be aware of? *
Your answer
PHOTO RELEASE: I understand and authorize that my child’s image may be photographed, filmed and used in video presentations and printed publications including the website and social media profiles *
Do you need to register another child? *
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