IMMANUEL SOUTHERN BAPTIST CHURCH
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Vacation Bible SChool 2022
JUNE 27 - JULY 1
Registration
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Childs Name
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Last
[object Object]
Parent / Guardian
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Last
[object Object]
Address
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Line 2
City
State
Zip Code
Country
Home Phone
*
Work Phone
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Cell Phone
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Email
*
Birthdate
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Last grade completed
*
Medical Information - Allergies - If not, enter "none"
*
Emergency Contact 1
*
First
Last
Phone Number
*
Emergency Contact 2
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Last
[object Object]
Phone Number
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Does your child attend Sunday School? If so, where?
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May we have permission to photograph your child?
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May we have permission to use your child's photograph for the purpose of promotion?
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Additional Comments
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Home
Ministries
BRING HOPE FOR EVERY DAY LIFE
Food Pantry
Connect Groups
Vacation Bible School
Staff
Contact
Partnerships