Northern Door County VBS Child Registration- June 12-16 2023 (for children ages 4 years - 6th Grade)
(Please fill out one form per child)
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Email *
Childs First and Last Name
Gender
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Child's Birthdate
MM
/
DD
/
YYYY
Grade Level (for Fall 2023)
Child's Home Full Address
Parent/Guardian First and Last Name
Parent/Guardian Phone Number
Second Emergency Contact Phone Number (Parent will be first)
What size T-Shirt is your child
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List any allergies your child has:
List any other medical concerns you have for your child:
What church does your family attend? (church attendance not required for VBS)
Do you give permission for your child to be photographed? (pictures may be used to promote this event and/or on social media)
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Would you, or a teenage child be interested in volunteering? If so, please list name, phone number and if you have a specific area you would want to volunteer
Submit
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