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Vacation Bible School 2023 Child Registration
Registration for Kids Grades K-5th for Vacation Bible School 2023 (ONE PER CHILD)
VBS is from 9am-12pm in the Parish Hall
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* Indicates required question
Complete name of Child (First & Last)
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Last school grade completed
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Your answer
Name of Parent(s)
*
Your answer
Street Address
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Your answer
City, State, Zip Code
*
Your answer
Home Telephone Number
*
Your answer
Parent Cell Phone Number
*
Your answer
Email Address
*
Your answer
Allergies, medical conditions or special needs:
*
Your answer
In case of emergency, contact:
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Your answer
Emergency contact number:
*
Your answer
Relationship to child:
*
Your answer
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