Desert Hills Baptist Church
VACATION BIBLE SCHOOL REGISTRATION FORM
NAME:
 *
PARENT/GUARDIAN NAME:
 *
ADDRESS:
 *
HOME PHONE:
 
WORK PHONE:
 *
CELL PHONE:
 *
E-MAIL:
 *
AGE INFORMATION: Birth date (for preschoolers) or last grade completed in school
 *
MEDICAL INFORMATION: Medical or other information we need to know. (Please include any food allergies)
 *
EMERGENCY CONTACT: Name:
 *
Phone Number:
 *
DISMISSAL INFORMATION: Who may pick up your child at the end event?
 *
OTHER INFORMATION: Do you attend Sunday School?
 *
If so, where?
 *
 * Required

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