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Vacation Bible School Leader: Angie Trammell VBS 2010
Saddle Ridge Ranch
Registration Form
Child’s Name ____________________________________________
Parent/Guardian Name ___________________________________
Address
_ _____________________________________________________________ _ _____________________________________
Phone Numbers:
Home _____________Work _______________Cell ______________
E–mail:
________________________________________________________________
Age Information:
Birth date ____________
Last grade completed in school ____________
Medical Information:
Medical or other information we need to know. (Please include any
food allergies.)
________________________________________________________________________
________________________________________________________________________
_______________________________________________________
Emergency Contact:
Name_________________________ Phone number________________
Name_________________________ Phone number ________________
Dismissal Information:
Who may pick up your child at the end of each VBS day?
________________________________________________________________________
Other Information:
Do you attend Sunday School? If so where?
________________________________________________________________________
If you are visiting our church, who are you a guest of?
________________________________________________________________________
May we have permission to photograph your child? Yes No
May we have permission to use your child’s photograph in church
publications for the purpose of promotion? Yes No
Mailing Address (if different)
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