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
Your answer
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
Your answer
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.
Your answer
Dismissal Information
Who May Pick Up Your Child at the end of each VBS day?
Your answer
Other Information
May we have permission to photograph your child?
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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