Vacation Bible School Registration
Holiday Hill Baptist Church, 730 Mandalay Rd., Jacksonville, FL 32216
June 24-28, 2019 -- 6:00pm-8:00pm
Student/Child's Name *
Your answer
Parent or Guardian's Name *
Your answer
Parent or Guardian's Email Address *
Your answer
Home/Mailing Address *
Your answer
Parent or Guardian's Phone Number *
Your answer
Last Grade the Student/Child Completed *
How did you hear about VBS? *
Any Medical or additional information you feel we need to know? *
Please list any allergies.
Your answer
Other than Parent or Guardian listed who may pick up your student/child at the end of evening? *
Name/Relation
Your answer
Other than Parent or Guardian listed who may pick up your student/child at the end of evening?
Name/Relation
Your answer
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