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VBS REGISTRATION
VBS FAMILY REGISTRATION 2023
Child - First Name
Last Name
Birthday
Grade (Entering Fall 2023)
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Health Conditions we should know about
Any Specific activities to be restricted?
List any known allergies
Additional Information
Pickup/Dropoff Location (Transportation Provided by VBS)
Choose a Location
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Extra Transportation Notes
Days needed for Transportation Pickup (Check all that apply)
Monday, June 12
Tuesday, June 13
Wednesday, June 14
Thursday, June 15
Friday, June 16
Days needed for Transportation Dropoff (Check all that apply)
Monday, June 12
Tuesday, June 13
Wednesday, June 14
Thursday, June 15
Friday, June 16
Parent(s) - First Name
Last Name
Cell Phone
Home Phone
Email
Child's Address
City
State
Zip
Is this your first time with VBS?
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Do you attend a Church?
Mission Covenant Church
No Current Church
Other Church
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