Register for Vacation Bible School: Splash Canyon at North Point Church
Join us July 30th to August 3rd, 5:30pm to 7:30pm!
Child's Name
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Child's Gender
Child's Age
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Date of birth
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Last school grade completed
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Name of parent(s)
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Street address
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City, State, Zip Code
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Home telephone:
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Parent/caregiver's cell phone:
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Home email address:
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Home church:
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Allergy or medical condition
If answer is "yes" to allergy or medical condition, please describe here:
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In case of emergency, contact:
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Phone:
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Relationship to child:
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If you have multiple children or family friends and would like to be in the same group, please note that here:
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Please take a moment to let us know your preferences regarding our use of photos of your children. We will take pictures during this event that may be used in our annual report, Facebook, our website, or promotion for next year's event. *
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