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Page Title

Vacation Bible School- Grace Church- 2026

Child First Name *

Child Last name*

Birthday*

Month

Day

Year

School Grade Starting this August 2026*

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

VBS T-shirt Size *

Youth XS

Youth S

Youth M

Youth L

Youth XL

Adult S

Parent/ Guardian First & Last Name *

Phone*

Email*

Address*

Emergency Contact Name*

Phone*

Allergies (if any):*

Medical conditions or concerns:*

Medications to be administered (if any):

Photo/Video Permission *

Yes, I GIVE permission for Photo/Video

No, I DON'T give permission for photo/video

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

First Aid Permissions*

Yes, I GIVE permission for First Aide

No, I DON'T give permission for first Aide

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Children will only be released to a parent/guardian or authorized adult listed below. All adults must present a valid photo ID at pick-up*

I understand ID is required for pick-up and my child will only be released to those listed.

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date*

Month

Day

Year

The Vestry of Grace Episcopal Church Elkridge, MD

(410) 796-3270

graceoffice@graceelkridge.org

SocialMedia@graceelkridge.org

Terms & Conditions

Church Office & Parish Hall

6725 Montgomery Rd

Elkridge, MD 21075

Historic Stone Church

5805 Main Street

Elkridge, MD 21075

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