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Southside Baptist Church—VBS 2021
Pre-register your child for VBS by filling out this form. Your information will not be shared.
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* Indicates required question
Child's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Last Grade Completed
*
Your answer
Parent/Guardian
*
Your answer
Siblings Attending? (Please include their names and ages)
(Save time by registering all your children with one form)
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Best Phone to Reach Parent/Guardian
*
Your answer
Email address
Your answer
Emergency Contact Name and Number
*
Your answer
Special Needs/Allergies/Other Concerns
Your answer
Is there a friend your child would like to be with?
We cannot guarantee your child will be in a group with their friends, especially if their friend is a different age. We will try to honor your request.
Your answer
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