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2024 VBS Registration
Welcome! Vacation Bible School at Pleasant Hill will be from June 23-June 27 from 6:00-8:00 pm. We will have a special program and meal on June 27 for families. Please complete one form per child.
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Parent Email
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Your answer
Child's Name ( first and last)
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Your answer
Parent/Guardian's Name(s)
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Your answer
Address
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Your answer
Phone Numbers
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Your answer
Child's Date of Birth
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MM
/
DD
/
YYYY
Age of child as of June 23, 2024
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Your answer
Grade- Fall 2024
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Choose
Nursery (under 3)
Preschool- 3 year old
Preschool-4 year old
Kindergarten
First
Second
Third
Fourth
FIfth
Sixth
Allergies, Medical Information/Additional Information
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Your answer
In case of Emergency-Additional Contact Information (please include relationship/phone numbers)
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Your answer
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