Vacation Bible School 2021 - Gateway Church Long Island
July 12-16 10:00 AM - 1:00 PM | VBS - Destination Dig
July 12-16, 2021 from 10:00 am - 1:00 pm
Eligible Ages: Completed Pre-K (entering K in September 2021) through completed 6th grade by June 2021. Please complete one form per child. There is no charge for attending Vacation Bible School.
Child's name
*
Child's Date of Birth
*
Child's Age
*
Child's Gender
*
Please select all that apply.
Male
Female
Grade completed in June 2021
*
Parent's Email
*
This address will receive a confirmation email
Parents / Guardians
*
Address
*
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AA
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LA
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MB
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ME
MH
MI
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MO
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MT
NB
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PA
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QC
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SK
TN
TX
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WA
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WY
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Home Phone
*
Cell Phone
*
Emergency Contact name and phone number
*
Medical Conditions (if child has no allergies, write none)
*
Medical Release: I give my permission for the VBS staff to administer basic first aid to my child (named above) in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.
*
Please select one option.
Yes, I agree
No, I do not agree
Photo Release: I hereby grant the above named church permission to use photographs and/or videos taken during VBS of the minor designated above in a highlight video or photograph slide show shown on the premises of Gateway Church.
*
Please select one option.
Yes, I agree
No, I don't agree
Submit
Description
July 12-16 10:00 AM - 1:00 PM
VBS - Destination Dig
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