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CITY-WIDE VACATION BIBLE SCHOOL (2022)
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Email
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Your email
Please complete the registration form below.
Child's Name
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Your answer
Grade Completed (classes available for children ages 4 through children exiting 5th grade)
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Your answer
School Child Attends
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Your answer
Address of the Child
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Your answer
City/State/Zip
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Your answer
Parent(s)/Guardians(s) Name
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Your answer
Is the address of Child the same as the Parent/Guardian
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Yes
No
If answered "No" to above question - please provide the address of the Parent or Guardian
Your answer
Emergency Contact (Include: Name, Relationship to the child, Phone Number)
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Allergies and level of reaction or other medial conditions:
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Your answer
How can we, as a faith family, bless you and your family?
Your answer
From Which church did you hear about the City-Wide VBS
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The following people have permission to pick up my child:
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