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Vacation Bible School Registration
2023 Registration Form
Where kids ages 3 to 11 come to learn about our loving savior Jesus Christ through bible stories, crafts and games. This year's theme is Fiercely Faithful! They will learn that
"God Always Keeps His Promises".
Meal and snacks are included.
Date:
Monday, June 12 through Thursday, June 15
Time:
5:00pm to 8:00pm
Location:
Sacramento Central SDA Church
6045 Camellia Avenue
Sacramento CA 95819
brandimaurizio1844@gmail.com
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Email
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Child's Name or Nick Name
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Child's Age
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Child's DOB
Date
Name of Parents/Guardians
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Street Address
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Parents/Guardians Cell Phone
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Parents/Guardians Email Address
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Custodial Arrangement if Applicable
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Allergies or Other Medical Conditions
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In Case of Emergency, Contact, Phone, Relationship to Child
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I give permission to call 911 in case of emergency
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Photographs will be taken during VBS. Please indicate your permission for your child's photo to be taken.
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Special Needs/Special Needs Survey
We are excited to have your child here at VBS! We believe that every child has God-given strengths and abilities. We would love to get to know your child better in order to encourage these strengths and abilities as well as to support them in the areas where they may need additional help. Please fill out the form below so we can get to know your child better.
My child has the following educational label or medical diagnosis:
Your answer
My child's primary means of communication is:
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Additional information concerning my child's allergies or food sensitivities:
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My child's favorite activities and interests are:
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My child avoids doing or becomes easily frustrated with the following activities:
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If my child becomes overwhelmed or frustrated they will respond best to:
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My child's strengths are:
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My child needs help with:
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What suggestions do you have that may help us create the nest possible experience for your child?
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What information would you like us to share with other children at VBS that will help them to better know, accept, and understand your child?
Your answer
A copy of your responses will be emailed to the address you provided.
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