Vacation Bible School Registration
July 16-19, 5:30-7:00 (Optional meal @5:00)
First Christian Church 200 S. Limit Sedalia, MO
660-826-5300
Child's Name *
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Date of Birth *
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Age & Grade Just Completed *
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Home Church *
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Parent/Guardian Name *
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Address (City, State, Zip) *
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Email Address *
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Best Contact Phone Number *
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Alternate Phone Number *
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Emergency Contact other than yourself (Please list 2, name and phone number) *
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Dismissal Info: Please give the names of people other than yourself with authority to pick up your child
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Please list any concerns or behavioral issues you would like us to be aware of
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Please check below that you give permission for the child registered here to participate in the various activities that will take place during Vacation Bible School. In the event of an accident or emergency, I give permission for the appropriate first aid to be administered or for the child to be transported to an emergency facility, if necessary. *
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Please check below if you give permission for your child to be photographed and that his/her photograph can be used on the church website or other publicly viewed sites.
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