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Bethel AME VBS Student Registration
VBS Date: July 15-19 2019
Church Address: 900 John A. Woods Drive Ann Arbor, MI 48105
Contact the church office with questions: 734-663-3800
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Student Name
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Student Date of Birth
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Grade Level for 2019
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Allergies/Medical Information or Other Concerns
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Student Address
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Parent Information
Parent/Guardian's Name
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Parent/Guardian's Phone Number
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Parent/ Guardian's email
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Who will Pick Up Child from Program?
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Will you require transportation
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Dietary restrictions
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