Registration Form
Please complete one for each child attending.
BeaverDam Baptist VBS 2018
Child's Name *
Your answer
Child's Age *
Your answer
Child's Gender *
Last Grade Completed *
Parent(s) Name *
Your answer
Street Address *
Your answer
Email *
Your answer
Phone number (1) *
Your answer
Phone number (2)
Your answer
Allergies or other medical conditions.
Your answer
Emergency Contact *
Your answer
Emergency Phone *
Your answer
Relationship to child *
Your answer
Do you have a friend or sibling you would like to be placed with? If so, who?
Your answer
Additional Comments
Your answer
Photo Consent
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