I Will Make You Fishers of Men...
Registration for BRBC Bible School
Broad Run Baptist Church Vacation Bible School
When: August 6 -August 10, 2018; 5:30-7pm
Event Address: Broad Run Baptist Church, 675 Broad Run Rd, Jane Lew, WV 26378
Contact us: (304)884-7413 Church Office
Child's First Name *
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Child's Last Name *
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Nickname?
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Parent/ Guardian's Full Name *
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Street Address *
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Town/City *
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State/ Zip *
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Primary Phone Number *
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Parent/ Guardian Email
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Child will be in ______ grade when school starts. *
Any known food allergies, medical concerns? *
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Emergency Contact (other than primary parent/ guardian listed above) *
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Emergency Contact Phone Number *
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Please list others who are allowed to pick your child up from our event. (i.e. Grandparents, Aunts, Uncles, Family Friends, etc)
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Are you members of a church? (answer not required)
By registering my child, I understand that his/her photo may be used for church purposes, like presentations or publications. I understand I can discuss any questions or concerns with the pastor and/or the VBS coordinators. *
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