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VBS Registration Form: Please fill out one form per child
*
Child's First Name
*
Child's Last Name
*
Email
*
Parent/Guardian Name
*
Street Address
*
City
*
State
*
Country
*
Postal Code
*
Phone Number
*
Birth date
*
Select the dates of VBS you are able to attend:
June 19 - 6-8:30 pm
June 26 - 6-8:30 pm
*
Last grade completed in school
*
Medical Information we need to know (please include food allergies)
*
Emergency Contacts (Names & Phone Numbers)
Who may pick up your child at the end of the VBS Day? (If different from Emergency Contacts)
Does your child visit church? If so where?
May we have permission to photograph your child and use on our social media?
Yes
No
SUBMIT
Vacation Bible School
Jun 19, 2026, 6:00 PM – 8:30 PM
Long Run Baptist Church
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