Concrete & Cranes VBS
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Name of Child Attending *
Parent/Guardian Name *
Address *
Best Contact Number *
Secondary Contact Number *
Email *
Age of Child Attending *
Last grade completed *
Medical information (please provide any relevant info we need to know. Example: allergies, epilepsy, etc). Type “none” if needed. *
Who can pick up your child if it’s not you? Please list name and contact number. *
Are you interested in your child attending church at First Baptist? *
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