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Registration for "Galactic Praise!"
6:15 - 8 pm July 25-28, 2022
Please complete a separate registration form for each child. Thank you!
Vacation Bible School is open to all children age 5 – 11.
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Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Child's Age as of July 25, 2022
Your answer
Child's last grade completed (if in school):
Choose
Pre-K
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Parent/Guardian Names:
*
Your answer
Family Mailing/Street Address
Your answer
E-mail Address
Your answer
Parent 1 Phone Number
Your answer
Parent 2 Phone Number
Your answer
Who may pick up your child from Vacation Bible School?
Your answer
Emergency Contact Name (other than parents)
Your answer
Emergency Contact Phone Number
Your answer
Known allergies or other medical information we should know about your child:
Your answer
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