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VBS Registration 2018
Child's Name *
Your answer
Preferred Name
Your answer
Birthday
Your answer
Age *
Your answer
Parent/Guardian Name *
Your answer
Home Address *
Your answer
Mobile Phone in use while child is at VBS *
Your answer
Email Address *
Your answer
How did you learn about Salem's VBS? *
Your answer
Do you have a church you regularly attend? *
Name of Church *
Your answer
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