VBS 2023 @ Gashland Baptist

Thanks for being interested in Vacation Bible School here at Gashland Baptist Church. VBS runs from June 4th-8th. 6:00pm - 8:15pm. Please fill out this form and click submit. Questions? Call the church office at 816-436-0031 or email Pastor Ryan at pastornix@gashlandbc.org.

Participant Name

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Preferred Name for Name Tag

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Gender

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Please select one option.

Male Female

Birthday (MM/DD/YYYY)

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Last Grade Completed

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Please select one option.

Preschool (3-5 Years Old) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies, Medical, & Special Needs: (Type N/A if None)

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Parent/Guardian Name:

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Address

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Phone

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Email

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This address will receive a confirmation email

Emergency Contact Name (1)

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Emergency Contact Phone (1)

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Emergency Contact Name (2):

Emergency Contact Phone (2)

Authorized Pickup #1

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Authorized Pickup #2

Authorized Pickup #3

Authorized Pickup #4

May we have permission to photograph your child for use in church publications?

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Please select all that apply.

Yes No

Comments?

Description

Thanks for being interested in Vacation Bible School here at Gashland Baptist Church. VBS runs from June 4th-8th. 6:00pm - 8:15pm. Please fill out this form and click submit. Questions? Call the church office at 816-436-0031 or email Pastor Ryan at pastornix@gashlandbc.org.

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