2019 VBS Registration
Blue Lake Community Church Vacation Bible School
Child's Name
First Name
Last Name
Age
Grade Just Completed
Birthday
Parent(s) Name
First Name
Last Name
Parent's Phone Number
-
Area Code
Phone Number
Parent's Email
Who is Authorized to Pick Up Your Child?
Emergency Contact
First Name
Last Name
Emergency Phone Number
-
Area Code
Phone Number
Allergies or Special Concerns
May we Have Permission to Photograph Your Child?
Yes
No
Tshirt Size
XS
S
M
L
XL
Submit
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