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Youth
Vacation Bible School 2023
Pre-Registration Page
Please submit a separate form for each person attending.
Student Information
*
Indicates required field
STUDENT NAME
*
First
Last
Food Allergies
*
AGE
*
SCHOOL GRADE COMPLETED
*
Parent / Guardian Information
PARENT/GUARDIAN 1 NAME
*
First
Last
PARENT/GUARDIAN 2 NAME
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Primary Phone Number
*
Alternate Phone Number
*
Email
*
Church Membership
*
Attendance Plans
In the boxes below, please select all that apply for students and parents / guardians. Parents / guardians, if you have more than one child attending, please only fill out your attendance plans once.
STUDENT
Events
*
Day Camp
Dinner
Vacation Bible School
Days
*
Tuesday
Wednesday
Thursday
PARENTS / GUARDIANS
Events
*
Dinner
Discussion for Adults
Days
*
Tuesday
Wednesday
Thursday
How Many?
*
Anything Else?
Comments and Questions
*
In the space below, please let us know any other information that you would like to share. If you have any questions, please ask them here. We will follow up with you as soon as possible.
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Home
About
Contact Us
Sermons
Youth