Enrollment Form for Cornerstone Baptist Church Vacation Bible School, 2024
July 8-12
9:30 am-Noon
Kindergarten-5th grade
Cornerstone Baptist Church
3834 Jonesboro Rd.
West Monroe, LA 71292
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Email *
Address *
Parent's/Legal Guardian's First and Last Name *
Phone Number Including Area Code (Emergency Contact) *
Child's First and Last Name *
Grade first child completed spring, 2023 *
2nd Child's First and Last Name
Grade 2nd child completed spring, 2023
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3rd Child's First and Last Name
Grade 3rd child completed spring, 2023
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List any Food Allergies for EACH child enrolled - Write NONE if there are none known. *
List any medical concerns for EACH child enrolled - Write NONE if there are none known. *
A copy of your responses will be emailed to the address you provided.
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