Vacation Bible School Registration
July 8-12
Child's Name (First and Last) *
Your answer
Child's Date of Birth *
MM
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DD
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YYYY
Parent/Guardian Names (First and Last) *
Your answer
Phone Number Best to Reach You *
Your answer
Last Grade Completed in School *
Does your child have any current medical conditions, allergies, or medications?
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May we have permission to use your child's photograph in publication? (No names are attached to any photos)
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