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VBS & Extravaganza Registration Form 2019
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* Indicates required question
Student Name
*
Your answer
I will attend:
*
VBS June 17 -21
Youth Extravaganza (June 24-28)
Both
Home Address
*
Your answer
Age
*
Your answer
Last Grade Completed
*
Your answer
Parent/Guardian Name
*
Your answer
Parent Phone Numbers (Home and Cell Phone numbers please)
Your answer
Transportation needed
*
No
Yes
Who will pick you up?
*
Your answer
Who will drop you off?
*
Your answer
Home Church
*
Your answer
Siblings attending
*
Your answer
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