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Crossroads Church VBS Registration
Jun 19th-23rd, 2023 (9:00 AM - 12:00 PM)
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Email
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Child's First Name
*
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Child's Last Name
*
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Child's Date of Birth
*
**CHILD MUST BE 4 YEARS OLD BY 9/1/22 TO PARTICIPATE.
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Child's Gender
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Female
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Child's Grade Level (2022-2023 School Year)
*
K4
K5
1st
2nd
3rd
4th
5th
Allergies or Medical Conditions
*
Enter None if No Allergies or Medical Conditions
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Additional Information
Any Additional Info for Staff
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