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SCUBA Vacation Bible School 2024
Diving into friendship with God!
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Email
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Holy Cross Lutheran Church
3425 Crescent Ave
Fort Wayne, IN 46805
June 24-28, 2024
9:00-11:30am
Ages 3 through 5th Grade
Please register by June 18 to help us be prepared! VBS is free!
Child’s FIRST name (preferred name)
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Your answer
Child’s LAST name
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Child’s Gender
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Female
Male
Child’s Age (numerical)
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Your answer
Child’s Date of Birth
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MM
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DD
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YYYY
Current School Grade (23-24 school year)
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Name of Parent(s)/Caregiver(s)
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Your answer
Street Address, City, State, Zip
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Your answer
Parent/Caregiver Cell Phone
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Your answer
Person(s) allowed to pick up child:
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Your answer
Allergies or medical conditions?
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In case of emergency, contct: (name and number)
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Your answer
Emergency Contact Relationship to Child
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Your answer
I give permission for my child’s picture to be taken and used by Holy Cross for promotions and/or social media us.
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Are you willing to be contacted about volunteering or making donations to VBS?
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Yes
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A copy of your responses will be emailed to the address you provided.
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