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King of Kings Vacation Bible School- JULY 8-12
Register your child below.
YOU MUST SUBMIT A NEW ENTRY FOR EACH CHILD.
Get ready for some outta this world fun!
Dates: July 8-12
Time: 9-11:30am
Ages: Ages 4- Entering 4th Grade
Cost: FREE
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Child's Last Name
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Your answer
Child's First Name
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Your answer
My Child's Date of Birth
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MM
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YYYY
My Child Is:
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Choose
Entering Preschool
Entering Kindergarten
Entering 1st Grade
Entering 2nd Grade
Entering 3rd Grade
Entering 4th Grade
N/A
Parent Email
*
Your answer
Primary Emergency Contact Last Name
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Your answer
Primary Emergency Contact First Name
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Your answer
Primary Emergency Contact Phone Number
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Your answer
The Following Individuals May Pick Up My Child. (First and Last Name Separated By Commas)
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Your answer
Known Allergies or Medical Conditions
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Your answer
In case of an injury, I authorize the staff
or volunteers
of King of Kings to render first aid.
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Yes
I hereby authorize the King of Kings staff or volunteers to act for me in case an emergency and waive and release King of Kings from all liability for all injuries and illness occurred while at camp
.
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Yes
I understand my child must be picked up by 11:45am.
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Yes
I would like more information about the (Preschool-Grade 8) school.
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Yes
No
I would like more information about King of Kings Lutheran Church.
*
Yes
No
Parent Signature
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Today's Date
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