Vacation Bible School Registration Form
Child Name
Address
City
State
Zip Code
Phone
Other Phone
Email Address
Age
Date of Birth
Parent
Last Grade Completed
T-shirt Size
Church affiliation
In case of emergency, contact
Allergies or other medical conditions
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*** NOTE: Your child must turn 4 years old by September 1, of this year in order to attend. Children having completed grades higher than fourth grade are not eligible to attend.

 
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