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VBS Registration Form
Frank Spangler
2025-04-27T15:02:52+00:00
Vacation Bible School 2025 – Registration Form
(One per Child)
Child's Name
*
Child's Nickname
Child's Gender
M
F
Child's Age
*
Child's Grade
*
Date of Birth
*
Allergies or Other Medical Conditions (i.e. diabetes)
*
Snack Options:
Vegetarian
Plant-based
Any special circumstances we should be aware of? (special needs or disabilities, and/or specific considerations).
Yes
No
If yes, please explain below.
First Name of Guardian/Parent
*
Last Name of Guardian/Parent
*
Street Address
*
City
*
Province
*
Postal Code
*
Home Phone
Cell Phone
*
Email
*
Home Church
Custodial Arrangement (if applicable)
In Case of Emergency, Contact
*
Phone
*
Relationship to Child
*
Photographs and video will be taken during VBS. Do you give permission for your child’s photo to be taken?
Yes
No
Parent/Guardian Consent
*
By clicking box and submitting form, I hereby consent for my child or children to participate in the VBS activities.
Date
*
Submit Registration Form
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