VACATION BIBLE SCHOOL REGISTRATION
2017 VBS Registration for Buffalo Baptist Church
Child's name
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Child's age
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Date of birth
MM
/
DD
/
YYYY
Last school grade completed
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Parent(s) Names
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Street Address
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City
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State
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Zip code
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Home telephone
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Parent/Caregiver's cell phone number
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Home Email address
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Home Church
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Allergies or other medical conditions
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Emergency contact name
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Emergency contact phone
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Relationship to child
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T-shirt size
Overnight Stay (Friday, July 28th Kindergarten and up only unless accompanied by an adult)
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