VBS Master Sign-Up
Please fill out the form below to register your child for Vacation Bible School at Valley View Church.
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Child
First Name
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Child
Last Name
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Child
Email
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Child
Address
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Child
City
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Child
State/Province
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Child
Zip/Postal Code
* Grade (Just Completed)
Select one
Starting Kind August 2023
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
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Child
Allergy & Medical Concerns
No Known Food Allergies
Peanut Allergy
Tree Nut Allergy
All Nut Allergy
Eggs Allergy
Seafood Allergy
Milk Allergy
Banana Allergy
Orange Allergy
Strawberry Allergy
Apples Allergy
Cantaloupe Allergy
Pineapple Allergy
Mango Allergy
Raspberry Allergy
Kiwi Allergy
Corn Allergy
Soy Allergy
Rice/Oats/Wheat Allergy
Carrot Allergy
Amoxicillin Allergy
Red Food Dye Allergy
Latex Allergy
Bee Sting Allergy
Penicillin Allergy
ADD
Cerebral Palsy
Epilepsy
Asthma
Autism
Aspergers
ADHD
Diabetic
Ragweed
Seasonal Allergies
Eats Meat Free
Eats Gluten Free
Other (List in Special Notes)
Child
Special Notes
*
Child
Birth Date
* Emergency Contact Name 1
* Emergency Contact Phone 1
Emergency Contact Name 2
Emergency Contact Phone 2
* Authorized Persons for Pick-Up
* Church You Attend
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