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VBS  Student Registration  2024   
Central Christian Church, Christian Church of the Covenant, University Place Christian Church and First Presbyterian Church will hold VBS for students Pre-k - 5th grade. (grades completed)
When: July 22-26, 2024. 5:00pm- 7:30pm
Where: 1111 W. Broadway
Friday, July 26 - Cookout, finale, and Block Party on Broadway for all families
If you have any questions please contact: financialsecretary@centralenid.org

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Student Full Name *
Student T-shirt size *
Student's birthday *
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Student's grade completed *
Church Affiliation *
list any allergies (non, if applicable) *
Does your child have any special needs? If so, explain. 
Parent/Guardian name *
Mobile Phone *
email *
Parent/Guardian name
Mobile Phone
email
emergency contact name *
emergency contact phone *
Doctor's name
Please list all who may pick up your child at the end of each VBS day with phone numbers. *
I give my permission to VBS leaders to photograph/film the minor above for any lawful purpose associated with the VBS program. This includes Social Media posts. *
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