Friedens Lutheran Church - VBS registration

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Friedens Lutheran Church - VBS registration

Sunday, June 25th -Thurs. 29th @ 6:30pm-8:30pm

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Child's Name *

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Full Address

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Child's DOB *

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Child's last completed grade (if applicable) *

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Parent/Guardian Name *

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Parent/Guardian phone # *

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Email *

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Emergency Contact 1 (other than listed) *

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Emergency Contact 1 phone #
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Emergency Contact 2 (other than listed)

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Emergency Contact 2 phone #

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Allergies or any special needs *

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List of who may pick up your child at the end of the VBS nights? *

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