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Vacation Bible School 2008 Registration Form

Please enter the following required information.

Form submitted by:
email:

Phone number during VBS:
Emergency contact person:
Emergency contact phone number:

Name of Mother, Father or
Legal guardian:
Address:
City:     State:     Zip:


Please enter as much of the following as appropriate.

Your Church:
    Member Yes    No


Enter the following information for each child to be registered.

Child's name:
Birth Date:     Age:     School Grade Entering:

Child's name:
Birth Date:     Age:     School Grade Entering:

Child's name:
Birth Date:     Age:     School Grade Entering:

Child's name:
Birth Date:     Age:     School Grade Entering:

Child's name:
Birth Date:     Age:     School Grade Entering:


Do any of the children registered have medical conditions or
allergies that we should know about? If so, please list them below:






 
 


 
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