Vacation Bible School
July 22nd-25th 8:30am-11:30am
Parent Details:
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Student Details ($20 per student):
*
Full Name
Grade as of 9/24
Health Concerns
Extended Care Need Y or N
1
2
3
4
Please use this space to share any medical concerns (food allergies, learning disabilities, etc.)
My children may appear in social media photos
*
Emergency Contact: This person needs to be available during VBS hours Please include: name, phone number, relationship
We need the extended care options for (check all that apply) *Your child may be dropped off or picked up at any time within these windows* **This is an additional $5 fee per child per day**
Mon 7:45-8:30
Mon 11:30-12:00
Tues 7:45-8:30
Tues 11:30-12:00
Wed 7:45-8:30
Wed 11:30-12:00
Thur 7:45-8:30
Thur 11:30-12:00
Signature: The children listed above may attend 2024 VBS at SFDS and I am responsible for their payment
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