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VBS Registration
June 24-28, 9 a.m. - 11:30 a.m.
Westminster Presbyterian Church, 5005 Lawson Ave., Gulfport MS 39507
Contact us at (228) 864-3143 or office@gulfportchurch.org
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Email
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Parent Name
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Email
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phone number
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Secondary / Emergency Contact (name and phone #)
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Student name AND grade (1st student):
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Student name AND grade (2nd student):
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Student name AND grade (3rd student):
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Student name AND grade (4th student):
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Allergies (select which student has an allergy then list the allergy in "other")
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Student (1)
Student (2)
Student (3)
Student (4)
Other:
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