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VBS 2022 Registration
Monday, July 25 - Thursday, July 28 6:30 - 8:00
James A. Campbell Park
317 W Jones St.
Fuquay-Varina, NC 27526
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Parent/Guardian Name
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Email Address (If you do not have an email type none)
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Phone #
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Address
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Please List an emergency contact name and phone number for your child.
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Name of Child 1
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Age of Child 1
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List any allergies Child 1 has
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