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VBS 2024 Registration
Use this form to register for On The Case VBS at Ripley Church of Christ.
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Parent/Guardian Name(s)
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Phone Number(s)
*
Your answer
Address
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Child 1 Name
*
Your answer
Child 1 Birthday
*
Your answer
Child 1 Grade ENTERING
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Child 2 Name
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Child 2 Birthday
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Child 2 Grade ENTERING
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Child 3 Name
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Child 3 Birthday
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Child 3 Grade ENTERING
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Child 4 Name
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Child 4 Birthday
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Child 4 Grade ENTERING
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Child 5 Name
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Child 5 Birthday
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Child 5 Grade ENTERING
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Allergies (name/allergy)
*
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Emergency Contact (Name: Not a Parent)
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Emergency Contact (Number)
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