Berean Seventh-day Adventist Church Houston, Texas
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Vacation Bible School
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Vacation Bible School Registration Form
High Seas Expedition
Child's Name:
Street Address:
Apartment Number:
City
State
:
Zip
:
Age
Birthdate
:
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
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21
22
23
24
25
26
27
28
29
30
31
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Home Phone:
Work Phone:
Cell Phone:
Parent or Guardian
Email Address:
Home Church:
Special Instructions:
Allergies:
(
Yes/No)
Make Selection
Yes
No
If yes, Please list:
In according with current
Berean Photo Release Statement
, I grant permission for my child to be photographed.
Respond yes if you agree
Make Selection
Yes
No