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Mill Creek Bible Church VBS Registration
Please complete a separate registration for each child attending.
Child's First Name (one per registration) *
Your answer
Child's Last Name *
Your answer
Grade Last Completed *
Allergies or other medical conditions *
Your answer
Parent Names (first and last) *
Your answer
Address *
Your answer
Home Phone Number *
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Cell Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
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Home Church *
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