Vacation Bible School 2025
July 21st-25th | 9:00 am–12:00 pm | For Children 5 years old through Grade 8
STUDENT REGISTRATION FORM
Child's Information
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Parent/Guardian Information
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Who may pick up your child at the end of each VBS day?
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Preferred Method of Contact:
Home Phone
Work Phone
Cell Phone
Other
Emergency Contact
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First Name
Last Name
Relationship
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Phone Number
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Format: (000) 000-0000.
Doctor
Doctor Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Any Allergies or Special Needs?
Media Agreement
Are you okay with us using your child(ren)'s picture or videos on the church's social media sites?
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I do allow my child(ren)'s image/video to be used on social media
I do NOT allow my child(ren)'s image/video to be used on social media
Other
VBS end's at 12 noon each day. Please arrive on time to pick up your child(ren). On the final day, Friday, July 25th, there will be water play. Please have your child(ren) bring a change of clothes and towels.
Signature
*
Date
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Month
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Day
Year
Date
Print Form
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