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Vacation Bible School Registration
Vacation Bible School Registration
VBS registration
Child(ren) Information
First & Last Name
Birthdate
School grade this fall
Parent/Guardian Name
First
Last
Address
Street Address
Address Line 2
City
ZIP Code
Email
Phone
If you have a home church, please include
Allergies or medical information
Emergency Contact Name
First
Last
Emergency Contact Phone
Name of person who may pick up your child from VBS; other than parent/guardian
First
Last
Consent
I give permission to have my child photographed or filmed as participating in VBS program for any lawful purpose.
Group
Name of friend your child might like to be with in group. We'll try our best but not guaranteed.
How did you hear about our VBS program?
Attend New Life
Website
Facebook
Friends at New Life
Community group that meets at New Life
Other