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 VBS Application




                                   

VBS 2010 Saddle Ridge Ranch

June 27th - July 1st

                                                                                                              
Child's Name
Parent/Guardian Name                                                                                    
Address

State
Zip Code
Home #
Work #
Cell #  
E-Mail address:
Birth date for preschoolers                                                                          
Last grade completed in school.
Birth date of school aged child.
Place Medical Information here: Include any allergies,                                 
or other things we need to know.
Emergency Contact/Name
Emergency Contact/Number
2nd Emergency Contact/Name
2nd Emergency Contact/Number
Dismissal Information: Who may pick
up your child at the end of each VBS day?

Do you attend SundaySchool? If so where?
If you are visiting our church, who are you
a guest of?
Permission to photograph child.
Permission to use photograph in church promotion.
  

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