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VBS Registration
Event Timing: Saturday June 17-21, 2018 9am to 12pm M-F
Event Address: 2900 Ralph Avenue, Louisville, KY 40216
If you need transportation Contact us at (502) 447-2061
For any other questions or info email:
contact@ralphavenuebaptist.com
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Email
*
Your email
Child Name
*
Your answer
Child Birth Date
*
MM
/
DD
/
YYYY
Last Grade Completed
*
Pre-School
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Parent/Gaudian Name
*
Your answer
Mailing Address
*
Your answer
Phone Number
*
Your answer
Medical or other information we need to know. (Please include any food allergies.)
*
Your answer
Emergency Contacts (other than listed above) Please List Name and Phone Number
*
Your answer
Who may pick up your child at the end of each VBS day?
*
Your answer
May we have permission to photograph your child?
*
Yes
No
May we have permission to use your child’s photograph for the purpose of promotion?
*
Yes
No
Does your child attend Sunday School?
Yes
No
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If so, where?
Your answer
If you need more info or transportation contact 502-447-2061.
A copy of your responses will be emailed to the address you provided.
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