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2017 VBS Registration - FBC Grandview
"Galactic Starveyors" June 25th-29th 6:00 PM - 8:30 PM
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Child's Name
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Age
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Birthday
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DD
/
YYYY
Child's Last Grade Completed as of June 26th, 2017
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Parent/Guardian Name
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Parent/Guardian Phone Number
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Parent/Guardian Home Address
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Parent/Guardian E-mail Address
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Emergency Contact Name
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Emergency Contact Phone Number
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Name of Person Picking up Child
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Allergies/Special Instructions
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Does your family regularly attend church?
If so, where?
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May we have permission to photograph your child?
How did you hear about our VBS?
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