VBS
Dates: June 21-25
Times: Dinner 5:00-6:00 PM; VBS 6:00-8:30 PM
Address: 15300 SW 288 St., Homestead, FL
Contact Joy Williams at (305) 306-7175 or outreach.nb@gmail.com
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First Child's Name and Age *
First Child's Birthday *
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First Child's Last Grade Completed *
Second Child's Name and Age
Second Child's Birthday
MM
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DD
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YYYY
Second Child's Last Grade Completed
Third Child's Name and Age
Third Child's Birthday
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DD
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Third Child's Last Grade Completed
Parent's Name and Phone Number *
Parent's Email *
Emergency Contact 1  Name and Phone Number *
Emergency Contact 2  Name and Phone Number
Allergies/Medical Information/Other
Name(s) of person(s) who may pick up this child or children from VBS. *
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