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VBS 2023 Students Birth to 12th grade
*
Child's First Name
*
Last name
*
Parent's email
*
Parent's Names
Address
*
Parent's Cell Phone Number
Child's Age
3-4 yrs
5-6 yrs
7-8 yrs
9-10 yrs
11 yrs
0-2 yrs
6th to 12th grade
Child's Birthdate
Does child have any allergies or medical issues we should know about?
Do we have permission to photograph child?
Yes
No
Will child be leaving with someone already on campus or picked up in the car line?
on campus
car rider
Name and phone number of emergency contact other than parents
SUBMIT
Vacation Bible School 2023 Students Birth to 12th grade
Jun 11, 6:30 PM – Jun 15, 6:30 PM
Douglasville
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