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VBS 2021 "Press Play"
June 30, 2021- One Day Super Event
4 year old - 5th Grade
Address: 2121 North Dunn Street, Bloomington, IN, 47403
Contact us at (812) 332-2248 or
bdavis@nc3family.org
For more information go to our website,
www.nc3family.org
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Child's Name
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Your answer
Parent's Name
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Your answer
Child's Age and Last Grade completed
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Parent's Email
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Your answer
Parent's Cell Phone Number
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Your answer
Do you attend a Church? If so which one?
Your answer
What does your child want for lunch? (Choose One)
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Chi-Fil-A 4 count nugget, chips and drink
Chic-Fil-A. Sandwich, chips and drink
Chic-Fil-A 8 Count nugget, chip and drink
PBJ, chips and drink
Jelly Sandwich, chips and drink
Required
Allergies
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Will your family be join us for our After Party Cookout? If so, how many?
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