VBS registration
Event Timing: Monday, June 22nd to Thursday, June 25th from 9:00-11:15 AM
Event Address: 613 18th Ave. Holdrege, NE 68949
Contact us at: (308) 995-6588
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Email *
Child's Name (First and Last) *
Parent's Name (First and Last) *
Parent's Phone Number *
Address *
City *
Zip Code *
Emergency Contact Name/Number *
Child's Gender *
Child's Birthday *
Grade Completed (as of May 2020) *
Required
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