VBS Registration 2019 Easter Hill!
Easter Hill is excited to serve you! Thank you for registering for our FREE Vacation Bible School. Please provide as much detail as you can for us to best serve you.

Easter Hill is a community church that is actively working on growing its practices of inclusion. We name that we are welcoming of all races, gender expressions, nationalities, religions, sexual orientations, abilities, and cultures, and we want that feel true for our community members. We welcome any feedback. Thank you.

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Age *
Your answer
Last grade student completed *
Your answer
Address ( street, apt #, city, zip code) *
Your answer
Student Allergies or other Medical Conditions/Medications student will need to take during camp hours (8:00 am -12:30 pm) *
Your answer
Family Doctor/Health Care Option *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
What is the name of the Home Church for the Parent/Guardian of Student? *
Your answer
Emergency Contact Name (First and Last) *
Your answer
Emergency Contact Phone Number *
Your answer
Other family attending (siblings, cousins, etc.) *
Your answer
Name of person DROPPING OFF student *
Your answer
NUMBER of person DROPPING OFF student *
Your answer
Do you give us permission to take pictures/video of your minor? *
Anything else you think we should know? *
Your answer
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