2017 Hero Central VBS Registration
Join us for "Hero Central" Vacation Bible School July 10-14
Ages 4yrs old - 5th grade
5:30pm - Dinner for Children
6pm-8pm - Program/Class Time
Hero Central
Childs Name
Your answer
Parent/Guardian Name
Your answer
Email Address
Your answer
Phone Number (Home)
Your answer
Phone Number (Cell)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Last School Grade Completed
Your answer
Allergies/Medical Information/Other
Your answer
Emergency Contact Name, Phone Number, & Relationship to Child
Your answer
Dismissal Information (Name of Person allowed to Pick Child Up)
Your answer
Permission to Post Pictures on Churches Website, Facebook, or Other Media Outlets
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