DC VBS 2017 - Galactic Starveyors Registration Form
VBS will take place the week of July 17-21 from 6:00pm - 9:00pm at Desperation Church. Kids ages Preschool through 5th grade are welcome! If you have any questions, please contact Valerie at frontdesk@desperationchurch.org.
Child's Name:
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Child's Age:
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Grade Entering in the Fall:
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Parent's Name:
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Address
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Home Phone:
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Cell Phone:
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Email Address:
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Medical Information - Please include any food allergies.
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Emergency Contact/phone number:
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Dismissal Information - Who may pick up your child at the end of each VBS day?
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I hereby waive all claims against Desperation Church, church leaders, and workers for any accident or injury that may occur during any VBS related event. If someone other than myself or my spouse is authorized to pick up my child, I will inform the leaders of these arrangements.
Please sign electronically below:
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