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Youth VBS Registration Form 2021
This form is for students in 7th - 12th grades. VBS is June 27-30, 6:30 - 8 p.m.
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Name:
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Grade entering in Fall 2021 and Birthdate:
Your answer
Student's Address:
Your answer
Allergies or other medical information we need to know:
Your answer
Parent's Names, Address, email, and best phone number for contact:
Your answer
Emergency Contact Name and Phone Number (if not parent):
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Who may pick up student other than Parent?
Your answer
If your student is visiting our church, how did you hear about our VBS?
Your answer
What size Tshirt does student wear?
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Other_______________________________________
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