2023 VBS Registration Form

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Questions? Start Here.Welcome Jungle Explorers! Welcome back to Harmony Baptist Vacation Bible School! We're doing things a little differently this year. You've come and joined us in the jungle for a few years now. This year, we want to come hang out in YOUR neighborhood! That's right, we're going on the road! Every week this summer, we want to be out in our community. But we need some places to stop. Would you like us to come visit your neighborhood? Drop us a line and we'll throw the jeep in drive! Please use this form to express your interest in seeing Jack and Sam in your neck of the woods. And if you'd like to HOST an event, that would be even more WILD!
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Name of Child Interested in VBS
First Name
Last Name
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Age of Child to Register
6
7
8
9
10
11
12
13
14
Other
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Parent's NameOr Guardian responsible for the child during VBS week.
First Name
Last Name
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Parent Contact InformationIn case we need to get ahold of you.
Please enter a valid phone number.
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Email AddressWhere we may send a confirmation and additional information.
example@example.com
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Your NeighborhoodSo we know where to come
Example: Westernport Hill, Keyser Airport Addition, Piedmont Pool Area, Creekside Park
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Any Questions for us?
Should be Empty: