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WE ARE NO LONGER TAKING ONLINE REGISTRATIONS. PLEASE REGISTER YOUR CHILD IN PERSON AT THE BEGINNING OF TONIGHT'S VBS EVENT.
Only One Child Per Form, Please!
*
Indicates required field
Child's Name
*
Parent/Guardian's Name
*
Address (#, Street, City, State, Zip)
*
Mailing Address (if different)
*
Main Phone Number
*
Secondary Phone Number
*
E-mail Address
*
Age Information
Birthdate of Child
*
Last Grade Completed in School
*
Medical Information
Allergies (including food-related) and Any Other Medical Info We Need to Know
*
Emergency Contacts
Name
*
Phone
*
Name
*
Phone
*
Who All Is Allowed to Pick Up Your Child at the End of the Night?
*
Other Information
Does Your Child attend Sunday School somewhere else?
*
Yes
No
If "Yes", where?
*
If your child is visiting our church, who is he/she the guest of?
*
NOTICE:
Please be aware that by registering for our Vacation Bible School and signing below, you are giving Highland permission to photograph your child participating in the event and use these photographs for the purpose of church promotion inside the church and online.
Please check to the box to confirm your agreement.
*
I Accept These Terms
Please Write Your Name Representing Your Online Signature
*
Submit
Home
About
Services & Directions
Who We Are
What We Believe
What To Expect
Ministries
Adult Programs
Student Programs
Children's Programs
Celebrate Recovery
Media
Virtual Bulletin
Sermons
Videos
Social Media
Highland Facebook
Highland YouTube
The Well Facebook
Celebrate Recovery Facebook
Connect
General & Prayer Requests
Online Visitor Card
Give