VBS 2023

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VBS 2023

July 17th -20th
10:00am – 1:00pm
For children that have completed PreK – entering 5th grade

Child's Name *

Child's Personal Pronouns *

Child's Age *

Street address *

City *

State *

Zip *

Home telephone

Home email

Child's Date of birth *

YYYY

Grade entering (2023-2024) *

Child’s Adult (1) *

Cell/Work # *

Child’s Adult (2)

Cell/Work #

Other Adults who have permission to pick up child from VBS (must be 18 or older)

Please include Name, Relationship, and Phone #

In case of emergency, contact

Please include Name and Phone #

Allergies or other medical conditions

Please share all necessary information. Type NA if not applicable

If your child needs special attention for any medical, legal or other reasons, please inform us so that we can take appropriate measures and join in your team effort to best support them and keep them safe.

May we have permission to photograph your child and use your child’s photograph in any and all forms of New Covenant Christian Church publications (i.e. Church website, brochures, newsletter etc.)

Yes

Tell us about your child. Likes, dislikes, your favorite thing about them

Tell us about the best ways to redirect and support your child if they are struggling

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