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New Antioch Baptist Church
Sunday, January 17, 2021
Sharing God's love with all people, guiding them to a personal and growing relationship in Jesus Christ.
VBS Registration
Child's Name
Parent/Guardian Name
Address
City
Phone/Cell
Email
Birthdate
Last Grade Completed In School
Medical Information (Include Food Allergies)
Emergency Contact Name/Phone
Permission to photograph your child?
yes
no
Who may pick up your child at the end of each VBS day?
Do you attent church?
yes Where?
no