HPC VBS Registration 2022

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HPC VBS Registration 2022

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* Indicates required question

Child's First Name *

Your answer

Child's Last Name *

Your answer

Child's Age *

Your answer

Grade Completed As of June 2022 *

Too Young for School / Pre-K

K

1

2

3

4

5

Parent / Guardian Full Name *

Your answer

Parent/Guardian Email Address *

Your answer

Parent/Guardian Cell Number *

Your answer

Home Church (If Any)

Your answer

Special Needs / Allergies / Meds (If None, Type None) *

Your answer

Emergency Contact #1 Name *

Your answer

Emergency Contact #1 Cell Number *

Your answer

Emergency Contact #2 Name *

Your answer

Emergency Contact #2 Cell Number *

Your answer

List of people with permission to pick up child from VBS: *

Your answer

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