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Vacation Bible School Registration
Please fill out the registration form below to reserve a spot for your child. The deadline to register is Sunday, May 30.
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* Indicates required question
What is your name?
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Your answer
What is your child's name? (List all who are registering)
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Your answer
What grade is your child currently completing? (List all who are registering)
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Your answer
Parent/guardian phone number
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Your answer
Parent/guardian email
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Your answer
I hereby authorize the staff at Bethlehem Lutheran Church to act for me according to their judgement in any emergency requiring medical attention and I hereby waive the said organization from any and all liability for any injury or illness incurred at Bethlehem Lutheran Church.
*
Yes
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This form was created inside of Cotati Rohnert Park Unified School District.
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