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VBS Registration 2022 - June 27-30 (5-8pm)*Please fill out one form for each child attending*
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Child's Name (First and Last)
Your answer
Child's Age
Your answer
Child's Grade Entering in the Fall
Your answer
Food Allergies or Other Medical/Special Educational Needs
Your answer
Parent's Name (Emergency Contact)
Your answer
Parent's Cell Phone Number (Emergency Contact)
Your answer
Parent's Email Address
Your answer
Address
Your answer
Names of Siblings Attending VBS
Your answer
People Who May Pick Up My Child
Your answer
How did you hear about about Holy Shepherd's VBS?
Your answer
Church Affiliation
Your answer
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