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Vacation Bible School

Aug 6-9, 2018

Registration

(One Registration Per Child)

Child Information
Name *
Name
Date of Birth *
Date of Birth
Medical or other information we should know (Please include any food allergies or special needs.)
Parent or Guardian Information
Name *
Name
Address *
Address
Phone *
Phone
Alternate Phone
Alternate Phone
Emergency Contact Information
Name *
Name
Best Contact Number *
Best Contact Number

Please note that by submitting the form above you are agreeing that:  (1) The child described above may be photographed during regular Vacation Bible School activities, and that these photographs may be used during Vacation Bible School Worship Rallies, worship services or in printed materials for Horizon Pointe Church.  (If this is not acceptable, please talk to one of our VBS Directors.)  (2) All information regarding this child is accurate to the best of your knowledge.  (3) Horizon Pointe Church, its officers, staff, employees, or volunteers are released from all liability of personal injury during Vacation Bible School activities, including but not limited to recreational, worship or classroom activities taking place on the grounds of Horizon Pointe Church.