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VBS 2018 July 9th - 13th
9am-12pm Christ Community Church 41 Stevens St. East Taunton MA 02718
Email address *
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Date of Birth *
MM
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DD
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YYYY
Gender *
Grade Entering Fall 2018 *
Parent's Names *
Your answer
Parent's Street Address *
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Town *
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State *
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Zip *
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Parent's Cell Phone *
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Additional Emergency Contact(s)
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Food Allergy *
Please list any food or environmental allergies that we need to be aware of.
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We provide a daily snack. If your child has a food allergy, will you be providing his/her snack?
Please describe any special needs your child may have that would be helpful for us to know about.
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Permission to Pick Up-- Your child's safety is our utmost concern. Each morning, the person who drops your child off will be given a claim tag that MUST be presented at pick-up. If the same person who dropped your child off will NOT be picking him or her up, we need to have written permission from you indicating this. Please indicate anyone to whom you give permission for us to release your child to. First & Last Name, relationship to your child
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Children registered by JUNE 3rd will receive a FREE T-SHIRT! Please tell us what size your child wears.
A copy of your responses will be emailed to the address you provided.
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