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VBS 2024 Registration Form
*
Indicates required field
Child's Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Date of Birth
*
Parent's Name
*
First
Last
Phone Number
*
Emergency Contact
*
First
Last
In the event the parent cannot be reached, who is the next person we can contact?
Phone Number
*
Relationship to Child
*
Select Your Child's Upcoming Grade Level
*
Pre-School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Known Allergies
*
Please list any known allergies your child may have.
Name of Home Church
*
Email
*
Media and Photo Release
*
Yes
No
I give Sonrise permission to use photos and videos of my child on their website and social media platforms.
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Church Staff
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