Harmony Baptist VBS Registration 2019
June 17th - 21st 5:30 pm - 8:30pm
First Name *
Your answer
Last Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Category of Last Grade Completed at end of this school year *
Address *
Your answer
Parent Name *
Your answer
Parent Email *
Your answer
Parent Phone Number *
Your answer
Additional Emergency Contact (name & phone number)
Your answer
T-Shirt size *
Dismissal Information (how will your child leave the church) *
Allergies/ Medical Information *
Your answer
Do we have permission to use your child's photograph for the purpose of promotion of VBS on social media? *
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