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Vacation Bible School
July 28-30, 6 p.m.
Please register each child, 1 form registration for each
For ages 5-12
Vacation Bible School, July 28-30, 6 p.m. For ages 5-12
Child's Name (submit a form for each child)
Child's Gender
Child's age
Child's birthdate
Last school grade completed
Name of parents
Address
City
State
Zip code
Phone number
Parent/caregiver's number
Email address
Home Church
Allergies, medical conditions, or special needs
In case of emergency, contact
Phone number of emergency contact
Relationship to child
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