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Vacation Bible School 2023 Registration
August 17th-19th, 6:00 to 8:00 PM, August 20th, 4:00 PM with picnic and games at 5:00 PM 8304 Leesville Road, Raleigh, NC 27613
Parent Names
First Name
Last Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
-
Area Code
Phone Number
Does your family need/want a Bible?
Adult Bible
Children's Bible
Have One
Child 1 Name
Child 1 Age (just finished grade)
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any dietary restrictions?
May photos be taken and/or posted of your child on church Website/Facebook without name attached?
Taken and posted
Taken but not posted (emailed to parent)
No photography
Any other information you would like to share?
Submit
Back
Click Here to Register More Children
Child 2 Name
Child 2 Age (just finished grade)
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any dietary restrictions?
May photos be taken and/or posted of your child on church Website/Facebook without name attached?
Taken and posted
Taken but not posted (emailed to parent)
No photography
Any other information you would like to share?
Submit
Back
Click Here to Register More Children
Child 3 Name
Child 3 Age (just finished grade)
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any dietary restrictions?
May photos be taken and/or posted of your child on church Website/Facebook without name attached?
Taken and posted
Taken but not posted (emailed to parent)
No photography
Any other information you would like to share?
Submit
Back
Click Here to Register More Children
Child 4 Name
Child 4 Age (just finished grade)
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any dietary restrictions?
May photos be taken and/or posted of your child on church Website/Facebook without name attached?
Taken and posted
Taken but not posted (emailed to parent)
No photography
Any other information you would like to share?
Submit
Should be Empty: