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Vacation Bible School Registration Form

High Seas Expedition


Child's Name:
Street Address:
Apartment Number:
City  State    Zip:
Age   Birthdate:   
Home Phone:
Work Phone: 
Cell Phone:   
Parent or Guardian
Email Address:
Home Church:  
Special Instructions:
Allergies: (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