VACATION BIBLE SCHOOL 
 

Child's Name (required)

Parent's Name (required)

Your Email (required)

Street Address (required)

Phone Number (required)

Emergency Contact (required)

Child's Age (required)

Child's Last Grade Completed (required)

Who may pick up your child at the end of VBS each day? (required)

Allergies (if any)

Any additional information you would like to provide

May we have permission to photograph your child?
YesNo

I give permission for the staff or leaders of Sharpsburg Baptist Church to authorize medical treatment for my child in case of emergency where I can not be contacted. I do not hold Sharpsburg Baptist Church, or any of the students, leaders, or volunteers liable for any accidents, injuries, or illnesses incurred during this event.
YesNo

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