2017 Vacation Bible School Registration
June 4-8, 6:00-8:30p
2300 Cadiz Rd.
(270) 886-4461 or info@edgewoodbaptistchurch.org
Email address
Contact Information
Parent/Guardian Name
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Address
Street Address, City, State, Zip Code
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Primary Phone Number
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Secondary Phone Number
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Primary Email
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Secondary Email
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Child's Name
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Age Information
Child's Birth Date
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Child's Age
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Last Grade Completed In School
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Medical Information
Emergency Contact(s) Name & Phone Number
You may enter more than one.
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Dismissal Information
Who May Pick Up Your Child at the end of each VBS day?
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Other Information
May we have permission to photograph your child?
Required
Will your child need to ride our bus?
A copy of your responses will be emailed to the address you provided.
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