Vacation Bible School
Parental Guardian Name (will be used as emergency contacts)
Your answer
Name of someone else that may pickup child
Your answer
Child's Name
Your answer
Grade your child will be going into.
Your answer
Address
Street address, city, state
Your answer
Phone Number (These numbers will be used for emergency contacts as well as any other necessary contact.)
(###)-###-####
Your answer
Alternate Phone Number
(###)-###-####
Your answer
Medical information including allergies (use none if your child has no allergies etc.)
Your answer
Does you child need to ride the bus?
May we have permission to photograph your child for the purpose of promotion?
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