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Venice Presbyterian Church VBS Registration
Use this registration form for all children age 4 through entering 6th grade.
Questions? Please call or text Beth Ziepfel 513-490-5048 | givemeaz303@gmail.com
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Email
*
Record my email address with my response
ONLINE REGISTRATION CLOSES JUNE 21st.
Walk-in registrations accepted at the door any day!
Child's First Name
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Your answer
Child's Last Name
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Child's Age
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Your answer
Grade Entering (school year 2024-25)
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Your answer
Allergies / Medical Concerns
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Your answer
Mailing Address
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Your answer
Parent / Guardian Name
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Your answer
Parent Email Address
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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
Church Affiliation
Your answer
Any additional information you'd like for us to know?
Your answer
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