DPF Vacation Bible School 2020

Address *

Mother's name *

First Name Last Name
Mother's Phone number *

Area Code Phone Number
E-mail address *
Child 1 *

First Name Last Name
Name on VBS Certificate *

First Name Last Name
Birth Date *

Day Month Year
Sex *
TEE SHIRT SIZE *
Known allergies/Medical concern if any *
Child 2

First Name Last Name
Name on VBS Certificate

First Name Last Name
Birth Date

Day Month Year
Sex
TEE SHIRT SIZE *
Known allergies/Medical concern if any
Child 3

First Name Last Name
Name on VBS Certificate

First Name Last Name
Birth Date

Day Month Year
Sex
TEE SHIRT SIZE
Known allergies/Medical concern if any
Transportation Needed for VBS *
If Yes how many days *
Emergency Contact Number *

Area Code Phone Number
People authorised to pick up your child if any
Signature of Parent (father or mother)

Clear
I/We Permit our child/Children to attend Vacation Bible School 2019 organised by Dublin Prayer Fellowship.

I/We understand that pictures may be taken of my child and may be uploaded on Fellowship website/Facebook.We permit the same.
Security Verification *
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DPF Vacation Bible School 2020 - Registration Form