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Kids Fest Online Registration
June 26, 2021
10 am to 2 pm
Mount Vernon SDA Church, 4520 E College Way,
office@mountvernonsda.com
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* Indicates required question
Email
*
Your email
Child's Name (one child per form please)
*
Your answer
Child's Age
*
Your answer
Parent's Names
*
Your answer
Home Address
*
Your answer
Home Phone | Cell Phone
*
Your answer
Emergency Contact | Relationship to Child
*
Your answer
Emergency Home Phone | Cell Phone
*
Your answer
Allergies
*
Yes
No
Required
If Yes to Allergies, Please Explain
Your answer
Medical Concerns
Your answer
Siblings Attending Kids Fest (name and age)
Your answer
Church Affiliation
Your answer
Special Requests
Your answer
Person(s) Name(s) Who may pick up the child: (name and phone)
*
Your answer
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