Unlocking the Book of revelation: bible prophecy conference : Braselton Seventh-day Adventist House of Prayer Hoschton GA

Child's nickname:

Date of Birth:

Name of parent/guardian:

Street address:

City:

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Parent/guardian's cell phone:

Parent/guardian's Email

Custodial arrangement if applicable:

Allergies or other medical conditions (i.e. diabetes):

In case of emergency, contact:

Emergency contact phone:

Emergency Relationship to child:

I give permission to call 911 in case of emergency?

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Photographs will be taken during VBS. I am giving permission for my child's photo to be taken and used for event advertising on social media and or local media outlets.

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Does your child have any special needs? If yes, please fill out the Special Needs Survey

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Braselton Seventh-day Adventist House of Prayer

My house shall be called a house of prayer

Unlocking the Book of revelation: bible prophecy conference

SPECIAL NEEDS FORM