2023 HPC Vacation Bible School Registration Form

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Parent Information

 
 
 
 
 
 
 
 
 
 
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Child's Information

 
 
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Emergency Contact (if parent is unreachable)

 
 
Security Word and Medical Concerns

 
 
 
 
 
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Insurance Information

 
 
 
 
 
 
 
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Conditions of Registration

I approve the application above and the conditions listed below.  I have written any necessary and pertinent information concerning our family and our child.

I understand that my child will be engaging in supervised, sports related activities except as otherwise specified in writing.

In case of serious illness or injury I hereby give permission for medical care by a physician and/or hospital chosen by VBS Director/Nurse.  I understand that every effort will be made to contact parent/guardian in case of emergency.
 
 
 
 
 
 
 

Description

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