Victory Church Vacation Bible School
June 8-12th, 2026 // 9:00-11:30AM
Child's Name
First Name
Last Name
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Male or Female
Date of Birth
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Month
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Day
Year
Date
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Address
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Street Address Line 2
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Parent/Guardian Name
First Name
Last Name
Phone Number
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Format: (000) 000-0000.
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Relationship to child
Who can pick up your child
First Name
Last Name
Name of home church
Email
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Allergies or other medical conditions. Please explain
Phone Number
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Format: (000) 000-0000.
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