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Registration

Family Week VBS Registration

Family Week VBS Registration, June 3-7 6:00 -8:30pm

Food, Music, Crafts, Games and Fun for the Whole Family!

First Name

Last Name

Email

Cell Phone #

Total # of Family Members Attending Free Dinner

REGISTRATION

K - 8th Grade

TOTAL NUMBER of K - 8th Graders to Register

Parents/Guardian Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Contact Information

Phone Numbers

Cell Phone #

Home Phone #

Work Phone #

Email

Child's Name

First Name

Last Name

Birth Date

Last Grade Completed

Medical Information (Please include any food allergies.)

Emergency Contacts (other than listed above)

Phone Numbers

Dismissal Information

Other Information

May we have permission to photograph your child?

Yes

No

May we have permission to use your child's photograph for the purpose of promotion?

Yes

No

Child's Name

First Name

Last Name

Birth Date

Last Grade Completed

Medical Information (Please include any food allergies.)

Emergency Contacts (other than listed above)

Phone Numbers

Dismissal Information

Other Information

May we have permission to photograph your child?

Yes

No

May we have permission to use your child's photograph for the purpose of promotion?

Yes

No

Child's Name

First Name

Last Name

Birth Date

Last Grade Completed

Medical Information (Please include any food allergies.)

Emergency Contacts (other than listed above)

Phone Numbers

Dismissal Information

Other Information

May we have permission to photograph your child?

Yes

No

May we have permission to use your child's photograph for the purpose of promotion?

Yes

No

Child's Name

First Name

Last Name

Birth Date

Last Grade Completed

Medical Information (Please include any food allergies.)

Emergency Contacts (other than listed above)

Phone Numbers

Dismissal Information

Other Information

May we have permission to photograph your child?

Yes

No

May we have permission to use your child's photograph for the purpose of promotion?

Yes

No

Message (if any)

Family VBS Week at Shepherd's Baptist June 3-7 at 6:30pm.

We look forward to seeing you and your family!

80 Pressly Foushee Rd,
Sanford, NC, 27330

984-977-8667

80 Pressly Foushee Rd, Sanford, NC

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Services

Sunday Worship 11:00 am

Wednesday Dinner & Devotions 6:30 pm

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