Waterville Baptist VBS 2019
Please fill out this form for each child in your family.
Child's Name *
Your answer
Street Address *
Your answer
Zip code *
Your answer
Age *
Your answer
Grade (in the fall) *
Birthday
MM
/
DD
Guardian's name *
Your answer
Guardian's phone *
Your answer
Names of adults who may pick up child(ren) *
Your answer
Food allergies? Any limitations for physical activities? *
Your answer
I consent to have my child's photograph used in Waterville Baptist Church's written and electronic promotional materials. *
If you worship at a church, which church is it? *
Your answer
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