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Participant Registration
Magnified! VBS will encourage kids to look closely at the details of God's amazing world and magnify, or proclaim, the greatness of God. We can't wait to discover the bigness of God in the smallest things together! VBS registration is open for children 5-11 years old. Thank you for registering!
*Participant's First Name:  __________________________________
*Participant's Last Name:  __________________________________
*Preferred Name for Name Tag:  __________________________________
*Parent/Guardian Name:  __________________________________
*Address:  __________________________________
*City:  __________________________________
*State:  __________________________________
*Zip:  __________________________________
Cell Phone:  (______)______-________
Email:  __________________________________
*Birthday:  __________________________________
*Gender:  Male  Female  (circle one)
*Last Grade Completed:  __________________________________
Allergies, Medical, & Special Needs:
*Emergency Contact Name (1):  __________________________________
*Emergency Contact Phone (1):  (______)______-________
*Emergency Contact Name (2):  __________________________________
*Emergency Contact Phone (2):  (______)______-________
*Authorized Pickup #1:  __________________________________
Authorized Pickup #2:  __________________________________
Authorized Pickup #3:  __________________________________
Do you attend Church?:    Yes   No  (circle one)
If so, where?:  __________________________________
May we have permission to photograph your child?:    Yes   No  (circle one)
May we have permission to use your child's photograph in church publications?:    Yes   No  (circle one)
Other Information:
* Required