VBS 2024

CBBC 2024 VBS
July 15-19
9:00 am to 12:15 pm
Call Church office if you have any questions/trouble.
904/794-7777

Parent/Guardian First/Last Name

*

Relationship

Please select all that apply.

Mother Father Grandparent Friend

Phone

*

Address

*

Email

*

This address will receive a confirmation email

Authorized person to pick up and Phone #

*

Attend Church

Please select all that apply.

Yes No

We go to:

Child 1

Child's Name

*

Completed Grade

*

Please select one option.

PreK 4 K 1st 2nd 3rd 4th 5th

Birthday

*

Allergies

*

Please select all that apply.

No Yes

Allergic to:

Child 2

First Name:

Last Name

Birthday

Completed Grade

Please select one option.

PreK 4 K 1st 2nd 3rd 4th 5th

Allergies

Please select one option.

Yes No

Allergic to:

Child 3

First Name

Last Name

Birthday

Completed Grade

Please select one option.

PreK 4 K 1st 2nd 3rd 4th 5th

Allergies

Please select all that apply.

Yes No

Allergic too:

Child 4

First Name

Last Name

Birthday

Completed Grade

Please select one option.

PreK 4 K 1st 2nd 3rd 4th 5th

Alleriges

Please select all that apply.

Yes No Option

Allergic to:

Other Information

Special Notes about ANY of the Children

*

Please be advise we may use your child(ren) picutre on social media and/or other forms of publications.

Description

CBBC 2024 VBS
July 15-19
9:00 am to 12:15 pm
Call Church office if you have any questions/trouble.
904/794-7777

Please Fix the Following

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