"Trusting God in the Jungle" VBS 2021
Please answer all the questions below. Please fill out a separate form for each child if you have multiple children attending. If you have any questions, contact VBS directors:

Katelyn Kordic 405-570-1729/katie689@gmail.com
Mikayla Cary 405-882-9255/mikaylacary7@gmail.com
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Child's Name (First, Last) *
Grade Child is Entering *
Child's Gender *
Parent/Legal Guardian Name(s) (First, Last) *
Parent/Legal Guardian Phone Number *
Parent/Legal Guardian Physical Address
Child's T-Shirt Size *
Does your child have any allergies/medical conditions? If yes, please list or explain below.
Does your child have any special needs? If yes, please explain below.
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