Shipwrecked VBS 2018
PLEASE NOTE: SHIPWRECKED Vacation Bible School 2018 is open to children who are ages 5-12 as of June 11, 2018.

New Life Baptist Church of Davie, Florida
June 11-15, 2018
9:00 AM - 12:30 PM
Please call 954.423.3933 if you have any questions or need assistance.

Parent or Guardian's First Name *
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Parent or Guardian's Last Name *
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Parent or Guardian's Cell Phone *
Format 123-456-7890
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Spouse's First Name
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Spouse's Last Name
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Spouse's Cell Phone
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Home Street Address *
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City *
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State *
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ZIP *
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Home Phone Number
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Email Address
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Emergency Contact (if different from parent or guardian)
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Emergency Contact Phone Number
Format (123) 456-7890
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Authorized to Pick Up Child *
Please list any individuals authorized to pick up your children, including yourself and your spouse (if applicable).
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How did you hear about SHIPWRECKED Vacation Bible School? *
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First Child's Information
Child's First Name *
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Child's Last Name *
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Child's Date of Birth *
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Second Child's Information
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Child's Last Name
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Third Child's Information
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Child's Last Name
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Child's Date of Birth
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YYYY
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Fourth Child's Information
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Child's Last Name
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Additional Information
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