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VBS - Let's JAM
August 16th - August 18th from 5:30pm-7:30pm
Starview UCC, 4832 N. Sherman St. Ext'd, Mt. Wolf, PA 17347
Phone: (717) 4248 ~ email:
starviewucc@comcast.net
** Advance Registration Required ~ Please complete one per every child participant **
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Child's Name
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Age
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School Grade in 2022-23
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Parent/Guardian Name
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Address
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Phone
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Email
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Secondary Contact Name and Number
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Doctor's Name
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Hospital Preference (In case of emergency)
Wellspan York
UPMC Memorial
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