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Register for VBS

at Ballyclare Free Presbyterian Church

Ballyclare, AT

Mon Aug 17–Fri Aug 21 AT 6:30 p.m.–8:30 p.m.

Family Information

Address

Street

Street 2

City

State/Province

Postal Code

Parent/Guardian First Name

Parent/Guardian Last Name

Primary Phone

Alternate Phone

Emergency Contact

Relationship to Student

Phone Number

Student Information

First Name

Last Name

Gender

Male

Female

Birth Date

Age Group

P1 (starting in Sept 26)

P2 (starting in Sept 26)

P3 (starting in Sept 26)

P4 (starting in Sept 26)

P5 (starting in Sept 26)

P6 (starting in Sept 26)

P7 (starting in Sept 26 and including those who have just finished P7 in June 26)

Food Allergies

Details

Medical Concerns

Details

In the event of an accident, I authorise the leadership to ensure that my child receives First Aid, or if required, medical treatment to be given by a healthcare professional.

Yes

Consent

I give permission for my child to attend the Vacation Bible School.

Custody Instructions

Details

Photos Allowed

I have more students to register

Cancel

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