Mystery Island - VBS Registration
Shady Grove Church VBS is June 15-19 from 9 am - 12 pm. We look forward to seeing you at VBS!
Name (First and Last) *
Your answer
Gender *
Birthday *
MM
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DD
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YYYY
Age Group *
Food Allergies *
Your answer
Medical Concerns *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Parent/Guardian *
Your answer
Cell *
Your answer
Email *
Your answer
Emergency Contact (name and telephone number in the event parent/guardian unable to be reached) *
Your answer
Photo Acknowledgement & Release (I understand that individual and/or group photos may be taken of my child during VBS at Shady Grove Church and consent to those photos being used for promotional purposes (such as the church website and/or social media forums) *
How did you find out about our VBS? *
Your answer
Do you regularly attend church? If so, where? *
Your answer
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