Immanuel United Reformed Church
Jordan, Ontario
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Welcome
About Us
Sermons
Resources
Members
Contact
The Race is On! VBS Registration
We are so excited to be able to see you and your children for VBS this year! We'll meet every morning, July 4-8 from 9 - 12 for singing, hearing a Bible story, making a craft, playing outside, having a snack and more! If you have any questions before registering your child, please feel free to email theresa@douma.ca or call Theresa at 905-562-8257. We can't wait to see you!
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Parents or Guardians Name
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First
Last
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Email
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Child's Name (Please put any additional children and their year of birth in the comment section, or fill out another form)
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Child's year of birth (so we can place them in the appropriate class)
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Does your child have any allergies or medical conditions that we need to know about?
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Address
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City
State
Zip Code
Country
Phone number that you can be reached at during VBS
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Emergency Contact (please leave the name and phone number of someone that we could call during the week of VBS in the case of an emergency, and in case we cannot get a hold of you
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Who should your child be picked up by at the end of the day?
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You
You or another parent?
Someone else (please specify below)
My child may go home with :
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Church Affiliation
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How did you hear about us?
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What is your child's favourite number? (We will use it for a craft during the week)
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Any other comments or questions? Leave them below and we'll email you with an answer
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