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Wickland VBS Registration 2024
The theme for this year is "Breaker Rock Beach". Date: June 9-13, Time: 6:00-8:30
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Email
*
Your email
Parent First Name
*
Your answer
Parent Last Name
*
Your answer
Street Address
*
Your answer
City, ST, Zip
*
Your answer
Phone
*
Your answer
Emergency Contact Person
Your answer
Relationship to Student
Your answer
Emergency Contact Phone
Your answer
Person(s) who may be Picking up the child(ren)
Your answer
Home church (if you have one)
Your answer
Child #1 First Name
Your answer
Child #1 Last Name
Your answer
Child #1 Age
Your answer
Gender Child #1
Female
Male
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Grade Completed
Your answer
Child #1 Allergies or other medical conditions
Your answer
Is there another child in your household you would like to register?
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