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Chef Registration Form VBS 2024
Child #1 Name
*
Date of Birth: Child #1
Age Child #1 as of 7/28/24
Last Grade Completed: Child #1
Child #2 Name
Date of Birth: Child #2
Age Child #2 as of 7/28/24
Last Grade Completed: Child #2
Child #3 Name
Date of Birth: Child #3
Age Child #3 as of 7/28/24
Last Grade Completed: Child #3
Child #4 Name
Date of Birth: Child #4
Age Child #4 as of 7/28/24
Last Grade Completed: Child #4
Parent/Family/Guardian Name
Address
City
*
State
*
Email Address
Cell Phone
*
Other Phone
*
Home Church (if any)
Friends of your child at this church
Special Needs/Allergies/Medical Information/Other:
Emergency Contact: Name
Phone #:
*
Emergency Contact: Name
Phone #:
Names of persons who may pick up this child from VBS*
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.
I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Today's Date
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