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Immanuel Lutheran Vacation Bible School - 2019
510 Idylwood Dr SE, Salem, OR - July 29th - August 1st - 9am-11:30am - 3yrs (potty trained) through entering 6th Grade
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Email
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Your email
First Name of Child
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Your answer
Last Name of Child
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Your answer
Age of Child
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3 yrs (Potty Trained)
4 yrs
Entering Kindergarten
Entering Grade 1
Entering Grade 2
Entering Grade 3
Entering Grade 4
Entering Grade 5
Entering Grade 6
Full Name of Parent or Guardian
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Your answer
Emergency Contact Phone Number
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Your answer
Does your child have any allergies?
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No
If yes, what allergies does your child have?
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How did you hear about this event?
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Your answer
Do we have permission to post photos of your child on our Facebook or website? (Photos might also be used for creating fliers and other promotional materials for next year)
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Yes
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