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UHBC VBS Registration
May 19-23, 5:30-8:00pm
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* Indicates required question
Email
*
Your email
Child's Name (please complete a new form for each child)
*
Your answer
Please list adult cell number:
*
Your answer
What grade did the child just complete:
*
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
My child will be in the nursery.
Is the child coming with a friend? If so, please list who it is:
Your answer
Please list any food allergies.
Your answer
Parent or Guardian name(s)/those picking up the child:
*
Your answer
Parent or Guardian address:
*
Your answer
What is your home church?
*
Your answer
May we photograph your child and use on social platforms?
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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