2018 Vacation Bible School Registration

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Child's Name:
Child's Age:
Do we have permission to photograph your child during this event?
Name of a special friend your child might like to be with attending VBS:
 
Contact Information:
Parent/Guardian:
Street Address:
City: State: Zip:
Phone Number:
E-mail Address:
 
In Case of Emergency Contact:
Name:
Phone Number:
Relationship to Child:
Allergies or Other Medical Conditions:
Food or Activity Restrictions:
 
Older children and adults are invited to stay each night and attend a video class on the Apostle Paul during Vacation Bible School.
Number of others that might want to participate in the video class: