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2024 VBS Registration
Christian Home Church of Christ
Wicksburg, AL
June 10th-13th 9:00-11:45 am
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* Indicates required question
Child's Name (please fill out one form for each child)
*
Your answer
Age
*
Your answer
Last Grade Completed in School
*
Your answer
Parent/Guardian Name
*
Your answer
Mailing Address
*
Your answer
Contact Phone Number
*
Your answer
Secondary Phone Number
Your answer
Email Address
Your answer
Medical issues or other information we need to know (include any allergies)
Your answer
Emergency Contact Name and Phone number (other than above)
Your answer
Who may pick your child up from VBS? (if other than parent/guardian)
Your answer
Home congregation (if applicable)
Your answer
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