2022 Vacation Bible School

Child's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age *

MM

DD

YYYY

Guardian Name *

First Name

Last Name

Guardian Phone *

(###)

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Sports Choice *

If you don’t have the sports equipment listed below, a few extras will be provided.

Soccer (bring a soccer ball and shin guards labeled with your name)

Basketball (bring a basketball labeled with your name - limited to first 12)

Baseball (bring a glove labeled with your name)

Cheerleading (wear comfortable shoes)

Volleyball (bring a volleyball labeled with your name)

Football (bring a football labeled with your name)

Emergency Contacts *

Emergency Contact #1

First Name

Last Name

Phone *

(###)

###

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*

Emergency Contact #2

First Name

Last Name

Phone

(###)

###

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