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VBS Child Registration Form
Yes! Register me for Kingdom Chronicles!
Sparta Trinity CRC - June 25-28th - 9am-noon - Grades K-6th
Child's Name
Your answer
Gender
Birthday
Your answer
Grade Completed
Address, City, State, Zip
Your answer
Parents/Guardian
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Emergency Contact
Your answer
Relationship to Child
Your answer
Emergency Contact Phone
Your answer
Please place my child with
Your answer
Name of Home Church
Your answer
Food Allergies
If yes, please list allergies or food concerns
Your answer
Medical concerns
If yes, please list medical concerns
Your answer
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