Vacation Bible School Registration
Holiday Hill Church, 730 Mandalay Rd., Jacksonville, FL 32216
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Child's First Name *
Child's Last Name *
Parent or Guardian's Name *
Email Address *
Home Address *
Phone Number *
Last Grade the Student/Child Completed *
I give permission for my child to be photographed/recorded *
Any Medical or additional information you feel we need to know? *
Please list any allergies.
Other than Parent or Guardian listed who may pick up your student/child at the end of evening? *
Name/Relation
Other than Parent or Guardian listed who may pick up your student/child at the end of evening?
Name/Relation
Other than Parent or Guardian listed who may pick up your student/child at the end of evening?
Name/Relation
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