Perry Presbyterian VBS Registration
June 10th-14th, 2024 (8:45am-12:15pm)
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Email *
Child's First Name *
Child's Last Name *
Child's DOB *
**CHILD MUST BE 3 YEARS OLD BY 9/1/23 TO PARTICIPATE. 
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/
DD
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Child's Gender *
Required
Child's 2023-2024 Grade Level *
ALLERGIES or MEDICAL CONDITIONS *
Enter None if No Allergies or Medical Conditions
Additional Information:
Any Additional Info for Staff
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