SCDA VACATION BIBLE SCHOOL

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Parent Name
First Name
Last Name
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Parent Email
example@example.com
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Parent Phone Number
Area Code
Phone Number
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Emergency Contact Name
First Name
Last Name
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Emergency Contact Phone Number
Area Code
Phone Number
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Alternate Adult PickupIf you will have someone else helping with pick up, please put their name here. If not, click next.
First Name
Last Name
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Do you need extended daycare?Early drop off (8am) and late pick up (12pm-3pm) Cost $150 per child
YESNO
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Register Player 1
First Name
Last Name
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Player 1 Shirt Size
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
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Player 1 Grade Fall of 2025
Please Select
Please Select
PreK
Kindergarten
1st
2nd
3rd
4th
5th
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Player 1 Allergies
12
Player 1 School
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Do you have another Player to register?
YESNO
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Register Player 2
First Name
Last Name
15
Player 2 Shirt Size
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
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Player 2 Grade Fall of 2025
Please Select
Please Select
PreK
Kindergarten
1st
2nd
3rd
4th
5th
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Player 2 Allergies
18
Player 2 School
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Do you have another Player to register?
YESNO
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Register Player 3
First Name
Last Name
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Player 3 Shirt Size
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
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Player 3 Grade Fall of 2025
Please Select
Please Select
PreK
Kindergarten
1st
2nd
3rd
4th
5th
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Player 3 Allergies
24
Player 3 School
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Do you have another Player to register?
YESNO
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Register Player 4
First Name
Last Name
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Player 4 Shirt Size
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
28
Player 4 Grade Fall of 2025
Please Select
Please Select
PreK
Kindergarten
1st
2nd
3rd
4th
5th
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Player 4 Allergies
30
Player 4 School
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Do you have another Player to register?
YESNO
32
VBS Registration PaymentRegistration and Extended Day Care
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My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
VBS RegistrationRegistration is $50 per child, please choose how many children you are registering.
$50.00Edit
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Quantity
Extended Day CareExtended Care is an optional add-on that provides extra supervision before and after VBS hours. It’s a great option for parents who need a little more flexibility with drop-off and pick-up times. Kids will enjoy games, crafts, and downtime in a safe and fun environment. The $150 is for the week, per child.
$150.00Edit
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Quantity
Extra VBS ShirtThe VBS shirt will be REQUIRED to be worn everyday of VBS. If you would like to purchase an extra shirt for your child, please add one to checkout.
$20.00Edit
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Quantity
Enter Coupon
Total cost $0.00
Payment Methods
Credit Card
First Name
Last Name
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
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