Vacation Bible School Registration Form
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Parents Name *
Street *
City
State *
Zip Code
Phone Number *
Email Address
Child One and Grade (in the fall)
Birthday
MM
/
DD
/
YYYY
Child Two and Grade (in the fall)
Birthday
MM
/
DD
/
YYYY
Child Three and Grade (in the fall)
Birthday
MM
/
DD
/
YYYY
Child Four and Grade (in the fall)
Birthday
MM
/
DD
/
YYYY
Child Five and Grade (in the fall)
Birthday
MM
/
DD
/
YYYY
Child Six and Grade (in the fall)
Birthday
MM
/
DD
/
YYYY
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