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Vacation Bible Fun Registration 2019
Congregational Church of Soquel ~ To Mars and Beyond!
Name *
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Parent/Family/Guardian Name *
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Adress *
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Email *
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Best Phone Numbers *
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Date of Birth *
MM
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DD
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YYYY
Last Grade Completed in School *
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Special Needs/Allergies/Medical Information/Other: *
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Specific Food Allergies, Needs, Restrictions: *
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Emergency Contacts: Please include names and contact information for 2 people: *
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Name(s) of person(s) who may pick up this child from VBF *
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Photo Release: ______________________________________ Church/VBS has my permission to use my child’s photograph publicly in VBF materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *
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THANK YOU & WELCOME!
Congregational Church of Soquel
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