Ark Family Worship VBS
2257 N Bethel Rd, Decatur, AL 35603. June 15th- June 19th 5:30pm-8pm
Kickoff
June 14th 4pm-6pm
Student Name
*
First Name
Last Name
Birth Date
*
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Day
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Year
Last Grade Finished
*
Please Select
Pre-K
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Please note: child MUST be potty trained and have finished at least Pre-k.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Parent/Gaurdian Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Alternate Phone Number
Format: (000) 000-0000.
Does Child Have Allergies
*
Please Select
Yes
No
Please explain below.
If yes, please explain:
Things to know:
1.) Adults must remain in their cars for pick up or be seated in the sanctuary until the car line is completed for the safety of the children. 2.) You will have a name card and must have it with you to pickup your child. If someone else is picking up they must have the name card. 3.) We may take photos for promotional purposes that may be posted on our Facebook, if you would like for your child to not be photographed please let us know. 4.) Child must be potty trained and have finished at least Pre-k.
Submit
Should be Empty: