VBS 2024 Registration

July 8-12, 2024 / 6:00-8:00pm | Join us at Breaker Rock Beach as we learn about God's rock solid truth! Please fill out the form and click 'submit' to let us know you will be there!

Child's Name

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Address

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Phone

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Email

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This address will receive a confirmation email

Age

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Please select one option.

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Last Grade Completed

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Please select one option.

PreK Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Does Not Attend School

Does your child have any allergies or medical conditions we should know about?

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Please select one option.

Yes No

If yes, please explain:

Does your child need transportation?

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Please select all that apply.

Yes, please send the van by to pick my child up. No, I will bring my child and pick them up.

Parent Name(s)

*

Description

July 8-12, 2024 / 6:00-8:00pm

Join us at Breaker Rock Beach as we learn about God's rock solid truth! Please fill out the form and click 'submit' to let us know you will be there!

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