VBS Sign Up Form - North Presbyterian Church

VBS Registration Form

Child's Name

Date of Birth

Grade entering in the fall

Allergies/medical conditions

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Name of parent/guardian

Address

City, State

Zip

Phone

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Emergency contact

Emergency contact phone

Relationship to child

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Photo Release: Please be advised that your child may be photographed or video taped at various North Presbyterian Church events. If you would/would not like your child’s photo to appear in our monthly newsletter and/or on our website or Facebook page, please choose the appropriate drop down response below.

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