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BCRC VBS Registration
Event Timing: August 2nd-5th 6:30-8:30 PM
Event Address: Blythefield CRC 6350 Kuttshill DR NE Rockford MI, 49341
Contact us at: 616-866-2962 or
Paigenrohen@gmail.com
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Parent's Names (First and Last)
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Email
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Cell Phone Number
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How many children do you have attending?
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Please list your children's names and ages
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Please provide an emergency contact (Name, Phone number and relationship to your child)
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Please note any dietary restrictions. (If none please type "None")
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May we have permission to photograph your child?
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May we have permission to use your child's photograph in church publications?
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