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Participant's Name *
Participant's Age *
Grade Entering in the Fall *
Days you will attending *
Required
Do you plan on attending the outdoor Spash Park Picnic on Thursday after VBS? *
Parent/Guardian's Name *
Email *
Contact Number *
Emergency Contact *
Someone that can be contacted if primary contact cannot be reached in the case of an emergency.
Emergency Contact Number *
Allergies or Medical Conditions *
Please list any food allergies or medical conditions that we need to be aware of while your child is in our care.
Comments:
Please share anything else you think would be beneficial for the Pastor or VBS director to know about your child.
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