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2019 VBS Registration
Messiah Lutheran Church
Vacation Bible School
Registration Form
Monday, July 15th-Wednesday, July 17th
Monday & Tuesday at Messiah. Wednesday at Cole Park
5:30-8:30pm Family Supper at 5:30pm
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Child's name
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Child's Age
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Date of Birth
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Last School Grade Completed
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Name of Parent/Guardian:
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Street Address (include PO Box)
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City
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State
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Zip
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Home Telephone
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Parent/Caregiver's Cell Phone
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Email Address
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Allergies or other medical conditions
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In case of emergency, contact
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Phone
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Relationship to Child
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