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SCUBA VBS Registration
Event Days: July 18th- July 22nd 2022
Event Time: 9am - 12pm
Event Address: 8405 W. Main Street, Marshall, VA 20115
Contact us at (571) 408-3437 or Childrens@MarshallUMC.org
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Child's Name
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Age/Last grade completed
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Street Address
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Parent Name
*
Your answer
Phone number
*
Your answer
Parent Email
*
Your answer
What days will you attend?
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Day 1
Day 2
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Day 4
Day 5
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Dietary restrictions/food allergies
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Emergency Contact (Name and Number)
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