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Pets Unleased: Where Jesus Cares "Fur" You
VBS Registration 2023 for Pre-School (Potty Trained) to completed 5th grade
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Parent/Legal Guardian First Name
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Parent/Legal Guardian Last Name
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Your answer
Parent/Legal Guardian Email address
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Parent/Legal Guardian Physical address (Street, City, Zip)
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Parent/Legal Guardian Contact Phone Number
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Parent/Legal Guardian Text Message Phone Number
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Emergency Contact #1 First Name
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Your answer
Emergency Contact #1 Last Name
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Emergency Contact #1 Relationship
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Emergency Contact #1 Phone Number
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Emergency Contact #2 First Name
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Emergency Contact #2 Last Name
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Emergency Contact #2 Relationship
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Emergency Contract #2 Phone Number
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Home Church Affiliation
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The individual executing this application hereby waive any and all claims, demands, causes of action, illnesses, or injury which they may have against La Porte Community Church as a result of participation in this event
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