Kingdom Quest / FUEL Registration Form 2016-2017
Welcome to the Vacation Bible School Registration form. Thank you for taking the time to fill this form out. We CANNOT wait to share the timelessness of the Scripture as your child encounters God's Word in a practical way that leads to life-long application!
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Child's Last Name
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Age
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Date of Birth
Please follow format of "month-day-year" (Example: 12-12-2012)
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Grade
If your child is not yet in pre-school, but is 3 years old and potty trained, please select "Pre-School)
Name of Parent(s) or Legal Guardian(s)
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Home Adress
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Primary Phone Number
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Email Address
The church office regularly uses email to notify families about VBS and other youth activities. We want to get you the information. Please share your email with us!
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Emergency Contact
Please include an additional name, phone number, and relationship to the child. Our first action is always contacting a parent or legal guardian, but if we are unable, we would like another option.
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Allergies or Other Medical Conditions
If there are none, please put "NONE." Please indicate specific procedures for treating allergies or medical conditions if known.
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Alternate Pickup
Please list any other adults that might pick up your child. Also include their phone number if known.
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Additional Comments?
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