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VBS Registration Form 2026
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Child #1 Name
Ages 3-11 (preschool to rising 6th graders)
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Date of Birth: Child #1
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Age Child #1 as of 6/06/26
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Grade completed in 2025/26 school year: Child #1
Child #2 Name
Date of Birth: Child #2
Age Child #2 as of 06/06/26
Grade completed in 2025/26 school year: Child #2
Child #3 Name
Date of Birth: Child #3
Age Child #3 as of 06/06/26
Grade completed in 2025/26 school year: Child #3
Child #4 Name
Date of Birth: Child #4
Age Child #4 as of 06/06/26
Grade completed in 2025/26 school year: Child #4
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Parent/Family/Guardian Name
Address
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City
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State
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Email Address
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Cell Phone
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Other Phone
Home Church (if any)
Friends of your child at this church
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Special Needs/Food Allergies/Medical Information/Other:
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Emergency Contact: Name
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Phone #:
Emergency Contact: Name
Phone #:
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Names of persons who may pick up this child from VBS*
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Photo Release: Canton First Baptist Church/VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media.
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I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
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Today's Date
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