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Vacation Bible School Registration
Please use the form below to register for FBC Rusk 2020 VBS
July 6th-10th
6-8:30 pm
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Parent Name
*
Your answer
E-Mail
*
Your answer
Mobile Number
*
Your answer
Address
*
Your answer
Child's Name
*
Your answer
Child's Birthday(for volunteer's child only if 4 years or younger)
Your answer
Child's Grade (Please select grade child will be entering for the 2020-2021 school year)
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Gender
*
Female
Male
Does your child have any allergies, medical or special needs?
*
Your answer
Emergency Contact Name #1
*
Your answer
Emergency Contact Phone Number #1
*
Your answer
Emergency Contact Name #2
*
Your answer
Emergency Contact Phone Number #2
*
Your answer
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