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Valentine's Day Parents Night Out
2024 VBS Registration Form
August 12 - 16 6:00 - 8:30 pm
(Preschool - 12th Grade)
Please fill out this form for each child who will be attending VBS. Thank you.
*
Indicates required field
Name
*
First
Last
Birthdate
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
*
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2022
2021
2005
2004
2003
2002
2001
2000
Street address
*
City, State, Zip:
*
Home Phone
*
Cell Phone
*
Email
*
Parent(s) name(s):
*
In case of emergency, contact:
*
Phone
*
School Grade just completed
*
Name of home church, if any
*
Allergies or other medical conditions:
*
Would you like to have someone from our Church contact you after Vacation Bible School.
Please Choose One
*
Yes, please contact me
No, contact needed
I hereby, GRANT/DO NOT GRANT Sandy Creek United Wesleyan Church permission to use pictures of my child, on their website or for informational purposes.
Please Choose One
*
GRANT permission
DO NOT GRANT permission
Parent/Legal Guardian
*
Submit
Home
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Valentine's Day Parents Night Out