Bethel Presbyterian VBS Registration

Welcome to VBS 2019!

July 22-26 from 9:00-12:00pm

Ephesians 3:20 "Glory to God who is able to do far beyond all that we could ask or imagine by His power at work within us!"

Please be sure to submit a separate registration for each child attending VBS.

Demographic Information
Child's Name
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Parent/Family/Guardian Name #1
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Parent/Family/Guardian Name #2
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Address
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E-mail
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Phone --
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Phone --
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Phone --
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Date of Birth //
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Age
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Last School Grade Completed
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Home Church (if any)
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Name of person(s) who may pick up my child from VBS
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Emergency Information
Special Needs/Allergies/Medical Information/Other
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If your child has food allergies, we request you bring a snack from home for him/her to enjoy each day. The snack should be clearly labeled with the child's full name.
Emergency Medicine Provided? If so, please include directions.
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Emergency Contact #1: Name/Relationship to Child/Phone
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Emergency Contact #2: Name/Relationship to Child/Phone
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Photo Release
Bethel Presbyterian Church/VBS has my permission to use my child's photograph publicly in presentations (during worship service), websites, and social media. No names will be published on the internet.
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Spam Capture
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