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VBS Registration Form--Seeing Jesus
Monday, June 28 - Thursday, July 1
Immanuel Lutheran Church, 1009 G Street, Eagle
402-781-2190
immanueloffice@windstream.net
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Child's Name
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Address
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Phone Number
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Parent/Guardian Name(s)
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Emergency Contact
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Age (Open to ages 4 to completed 5th Grade)
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Grade just completed (2020-21)
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Email
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What days will you attend?
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Day 1
Day 2
Day 3
Day 4
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Allergy/Health Concerns
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