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VBS REGISTRATION
Child's First Name
*
Child's Last Name
*
Grade Level (Please choose the most recently completed grade level)
Parent/Guardian Name
*
Parent/Guardian Phone
*
Please list any allergies your child has. If none, please put N/A.
*
Do you give permission for Liberty Baptist Church to contact emergency services if there is a medical emergency with your child that requires immediate medical attention?
*
Yes
No
Do you give Liberty Baptist Church permission to photograph your child during VBS?
*
Yes
No
Do you give permission for Liberty Baptist Church to post photographs of your child on Social Media?
*
Yes
No
Submit
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