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We are excited to have your family join with us this year! Please complete a form for each child that will attend VBS

Child's Name *
Child's Name
Child' #1 Date of Birth *
Child' #1 Date of Birth
Child #2 Name
Child #2 Name
Child #2 Date of Birth
Child #2 Date of Birth
Child #3 Name
Child #3 Name
Child #3 Date of Birth
Child #3 Date of Birth
Child #4 Name
Child #4 Name
Child # 4 Date of Birth
Child # 4 Date of Birth
Parent/Guardian Name
Parent/Guardian Name
Address
Address
Contact Number(s)
Contact Number(s)
Emergency Contact #1
Emergency Contact #1
Phone Number #1
Phone Number #1
Emergency Contact #2
Emergency Contact #2
Phone Number #2
Phone Number #2
Medical or other information we need to know. (Please include any food allergies.)
Who may pick up your child at the end of each VBS day?
Guest Information
Guest Information
If your child is visiting our church, who is (s)he a guest of?