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"Tutti Fruity" VBS Registration
Monday July 11- Thursday July 14th
8:45 am- 12:00 pm
Ages: Completed JK- Grade 6
Event Address: Lighthouse Fellowship Baptist Church
83 Mahood Johnston Drive Kincardine, ON
Phone: 519-396-3338
Email us at
lfbckidsshine@gmail.com
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* Indicates required question
Email
*
Your email
Name of Child
*
Your answer
Gender?
*
Male
Female
Phone Number
*
Your answer
Address
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Age of Child
*
Your answer
Grade Completed as of June 2022
*
JK
SK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Required
Email
*
Your answer
Parent's/ Guardian's Names
*
Your answer
What days will your child attend?
*
Day 1 Monday
Day 2 Tuesday
Day 3 Wednesday
Day 4 Thursday
All 4 days!
Required
Dietary Restrictions/ Allergies
*
Your answer
Does your child carry an Epi Pen?
*
Yes
No
Required
Does your child have any behavioural/ medical/ or other concerns we should be aware of?
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Your answer
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