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VBS 2023
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VBS 2023
2023 VBS Registration (Ages 5-11)
1
Child(ren) Info
2
Regsitration Info
How many children would you like to register?
(Required)
One
Two
Three
Four
Child 1
Name
(Required)
First
Last
Date of Birth
(Required)
Month
Day
Year
Grade Fall 2023
(Required)
Allergies or other concerns?
Child 2
Name
(Required)
First
Last
Date of Birth
(Required)
Month
Day
Year
Grade Fall 2023
(Required)
Allergies or other concerns?
Child 3
Name
(Required)
First
Last
Date of Birth
(Required)
Month
Day
Year
Grade Fall 2023
(Required)
Allergies or other concerns?
Child 4
Name
(Required)
First
Last
Date of Birth
(Required)
Month
Day
Year
Grade Fall 2023
(Required)
Allergies or other concerns?
Parent / Guardian Name
(Required)
First
Last
Address
(Required)
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
(Required)
Alt Phone
Email
(Required)
Your Church
I would like more information about
Hillside Church
Emergency Contact
Name
First
Last
Relationship to Child
(Required)
Phone
(Required)
Alt Phone
Photo Consent
I grant photo consent
I hereby grant the VBS leaders permission to photograph/film the minor designated
above in any manner or form for lawful purpose associated with this program to use
for display purposes within Hillside Christian Church.
Volunteering
I am interested in volunteering...
Name
First
Last
Email
