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St. John's UCC VBS Registration Form
June 6-10th, 2022
12:30pm - 4pm (Closing Program @ 6pm on June 10th!)
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Email
*
Your email
Student Name
*
Your answer
Grade Completed This Year
*
Your answer
Parent/Guardian Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Emergency Contact Name & Number
*
Your answer
Special Needs / Allergies
*
Your answer
Home Church (if any)
Your answer
T-Shirt Size
*
YOUTH S
YOUTH M
YOUTH L
ADULT S
ADULT M
ADULT L
ADULT XL
Photo Release: St. John's church has permission to use my child's photograph publicly in social media posts.
*
Yes
No
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