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VBS Registration
Dates: Sunday, May 19th - Thursday, May 23rd, 2024
Event Address: First Mennonite Church - 1718 W Pretty Prairie Rd
Time: 6:30 p.m. - 8:00 p.m.
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Participant 1 Name
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Participant 1 Date of Birth
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Participant 1 School Grade Completed (Must turn 4 before VBS)
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Participant 2 Name
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Participant 2 Date of Birth
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DD
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YYYY
Participant 2 School Grade Completed (Must turn 4 before VBS)
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1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
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Participant 3 Name
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Participant 3 Date of Birth
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DD
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YYYY
Participant 3 School Grade Completed (Must turn 4 before VBS)
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Participant 4 Name
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Participant 4 Date of Birth
MM
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DD
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YYYY
Participant 4 School Grade Completed (Must turn 4 before VBS)
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Participant(s) Address
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Father's Name
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Mother's Name
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Parent(s) Email Address
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Phone Number
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Permission to Text about VBS
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Brother(s)/Sister(s) Names
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Name of person(s) driving child to VBS
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Special Health Needs:
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