VBS Registration Form

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VBS Registration Form

June 24th-28th, 6pm-8pm

1509 N Main Street Williamstown, NJ 08094

856.629.4680 info@lifeishere.org

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* Indicates required question

Name of Child *

Your answer

Child's Date of Birth *

Your answer

Address *

Your answer

Name of Parent/Guardian *

Your answer

Telephone Number *

Your answer

Email *

Your answer

Child's Age *

Your answer

Child's Gender *

Female

Male

Emergency Contact Name & Telephone Number *

Your answer

Allergies *

Your answer

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