Children

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Vacation Bible School 2017

 

REGISTRATION

Child's Name *
First Name
Middle
Last Name
Date of Birth*
Age on June 1, 2017 (must be 4 years of age by June 1, 2017 to participate)*
Grade Just Completed *
Health Needs/Allergies
Class Friend?
2. Child's Name
First Name
Middle
Last Name
2. Date of Birth
2. Age on June 1, 2017
2. Grade Just Completed
2. Health Needs/Allergies
2. Class Friend?
3. Child's Name
First Name
Middle
Last Name
3. Date of Birth
3. Age on June 1, 2017
3. Grade Just Completed
3. Health Needs/Allergies
3. Class Friend?
Parent Name *
First Name
Middle
Last Name
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Day/Cell Phone*
Email Address:*
Name of Emergency Contact *
First Name
Middle
Last Name
Emergency Contact Number*
Relationship to Child?*
Home Church Affiliation
Ark Preschool?
Yes! I would like to volunteer with VBS!!
Name of Volunteer
First Name
Middle
Last Name
Email
Where would you like to volunteer? (age/area)
Do you need childcare? ONLY FOR VOLUNTEERS (Infants - Age 3 years)
Child's Name for Childcare
First Name
Middle
Last Name
Age
Allergies
Second Child's Name for Childcare
First Name
Middle
Last Name
#2 Childcare