If you would like to submit information for more than one child, just put a dash between the answers that are different or fill out separate forms for each child. Thank you!

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Child's Name:
Child's Age:
The Child's Grade (entering this Fall):
Child's Home Address:
Telephone of Parent / Legal Guardian:
Who to Call in Case of Emergency?
Child's Date of Birth:
Has the Child been Baptized?
Does the Child Go to Sunday School or Youth Bible School? If so, where?
Who Will Bring the Child to VBS and Pick Him/Her Up? (If your child needs a ride, let us know so we can arrange it.)
Name(s) of Child's Parents / Legal Guardians:
Child's Home Church: