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Vacation Bible School Registration The View Church July 22-26
Please fill out 1 form per child. For questions or problems call The View Church @ 618-351-0811 VBS is July 22-26 from 6-8PM
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Parent Name
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Your answer
Parent Phone Number
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Your answer
Home Address
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Your answer
Parent Email
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Phone Number
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Your answer
Emergency Contact Relationship
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Your answer
Alternate Pickup Person
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Your answer
Alternate Pickup Person Phone Number
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Your answer
Child 's Name
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Your answer
Child's Gender
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Female
Male
Prefer not to say
Other:
Grade Entering in Fall
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Your answer
Date Of Birth
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MM
/
DD
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YYYY
Allergies/Other Medical Concerns
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Your answer
Do you have a friend you want to be placed with? If so, who?
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Your answer
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