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Registration Form - Shady Grove Baptist Church · Registration Form • Administrative Guide CD •...

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Registration Form • Administrative Guide CD • VBS 2020 Registration Form Child’s Name Parent/Guardian Name Address (street address, city, state, and zip code) Mailing Address (if different) Contact Information Home Work Cell Email 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 Contacts (other than listed above) Names & Phone numbers Dismissal Information Who may pick up your child at the end of each VBS day? Other Information Does your child attend Sunday School? If so where? If your child is visiting our church, who is he a guest of? May we have permission to photograph your child? q Yes q No May we have permission to use your child’s photograph for the purpose of promotion? q Yes q No

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Page 1: Registration Form - Shady Grove Baptist Church · Registration Form • Administrative Guide CD • VBS 2020 Registration Form Child’s Name Parent/Guardian Name Address (street

Registration Form • Administrative Guide CD • VBS 2020

Registration FormChild’s Name Parent/Guardian Name

Address

(street address, city, state, and zip code)

Mailing Address (if different)

Contact Information

Home Work Cell

Email

Age Information

Birth date Last grade completed in school

Medical InformationMedical or other information we need to know. (Please include any food allergies.)

Emergency Contacts (other than listed above)Names & Phone numbers

Dismissal InformationWho may pick up your child at the end of each VBS day?

Other InformationDoes your child attend Sunday School? If so where?

If your child is visiting our church, who is he a guest of?

May we have permission to photograph your child? q Yes q No

May we have permission to use your child’s photograph for the purpose of promotion? q Yes q No

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