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VBS Registration - "God's Wonder Lab"
June 7-11, 9:00AM-Noon,
Preschool age 3 thru those completing 5th grade.
(Must be potty trained.)
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* Indicates required question
Child's Name
*
Your answer
Grade
*
GRADE COMPLETED THIS YEAR.
Choose
Pre or N/A
K
1
2
3
4
5
Age
*
Your answer
Parent/Guardian Name(s)
*
Your answer
Phone
*
PLEASE ENTER 2 BEST CONTACT PHONE NUMBERS DURING VBS.
Your answer
Email
*
PLEASE ENTER BEST CONTACT EMAIL.
Your answer
Address
*
Street Address & Zip Code
Your answer
Special Needs
Please let us know if your child has any special needs such as allergies, behavior issues, etc.
Your answer
Questions?
If you have any questions or concerns, please contact DCE Rod lane (402-499-0807,
dcerod@redeemerlincoln.org
).
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