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Jerusalem Baptist ChUrch
Vacation Bible School
Registration
Child's Name
Parent/Guardian Name
Address
Contact Information
Home Phone
Work Phone
Cell Phone
Email Address
Age Information
Birth Date
Last Grade Completed in School
Medical Information
Medical or other information we need to know. (Please include any food allergies.)
Emergency Contacts
Names & Phone Numbers
Dismissal Information
Who may pick up your child at the end of each VBS day?
Other Information
Does your child attend church? If so, where?
If your child is visiting our church, who is he a guest of?
May we have permission to photography your child?
May we have permission to use your child's photograph for the purpose of promotion?
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