Little River Luau V.B.S

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Sign up below for VBS For June 12-15th, it will be daily from 9:30 AM- 12:30 PM! Snacks will be provided everyday, so please include allergies or dietary restrictions on the appropriate question.

Please fill out this form for each child you will be bringing/picking up for VBS.

Email *

Parent First Name *

Parent Last Name *

Phone Number *

Child's Full Name *

Last Grade Completed (Pre-K- 5th Grade Only) *

Pre-Kindergarten

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Does your child have any dietary restrictions or allergies that we should be aware of? *

Is there another person other than yourself that may be picking up the child listed above?

If yes, please list their name and phone number below. If no, answer no below.

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