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2021 VBS Registration
VBS will be held Tuesday, August 3rd & Wednesday, August 4th
Ages 3-6th grade are able to attend; older children able to stay the night and swim without supervision. Contact Sandy Quale for specific age requirement questions.
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Child's Name
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Parent/Guardian
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Your answer
Mailing Address
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Home Phone
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Cell Phone
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Email Address
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Child's Age
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School Grade Last Completed
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Please list any allergies (including food allergies)
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In Case of Emergency (If Parent/Guardian can't be reached): Name, Phone Number, Relationship to Child
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Person picking up child (if not parent/guardian)
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