Vacation Bible SchoolFor:1st–6th grade studentsWhere:Angle Lake Neighborhood ChurchWhen:July 8th–12th (Monday–Friday)Time:10am to 2pmCost:FREE! Lunch, snacks and refreshments provided. Vacation Bible School PreregistrationFields marked with a * are required. * Student's First Name * Student's Last Name * Street Address * City * State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming * Zip Code * Primary Phone # * Date of Birth * Parent/Guardian Name(s) * Emergency Contact Person * Emergency Phone Number is it okay to text you updates on our children’s ministry programs? YesNo * Parent/Guardian Cell Phone # is it okay to email you updates on our children’s ministry programs? YesNo * Parent/Guardian Email Address Doctor’s Name Doctor's Phone # Insurance Plan Insurance Number Medical Problems To Be Concerned About: Food(s) to avoid Allergies Date of last Tetanus Shot Photo Release:I grant Angle Lake Neighborhood Church the absolute right to copyright, re-use, publish and republish by any medium, including electronically, any photos of my child or in which they may be included, that may be taken while participating in Angle Lake Neighborhood Church activities. YesNo * I have read and accept the terms of Angle Lake Neighborhood Church's Medical and Liability Release.