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2015 Hardin Valley Church Vacation Bible School Sign Up
Please fill out as completely as you can. You can list up to three children per form.
www.hardinvalleychurch.com
865-670-4188
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Student First Name
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Student Last Name
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Your answer
Student First Name
Your answer
Student Last Name
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Student First Name
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Student Last Name
Your answer
Parent Name
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Your answer
Address
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Email
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Your answer
Contact Cell Phone Number
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Your answer
Emergency Contact and Cell Phone Number
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Your answer
What grade is student entering?
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K-3
K-4
K-5
1st
2nd
3rd
4th
5th
6th
Junior High
Health Items: Any health issues or food allergies we should know about?
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Your answer
All parents are invited to attend any service, but especially our Adventure Camp finale on Wednesday night. Will you be able to attend?
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Yes
No
Hopeful :)
How did you hear about our Kids Adventure Club (VBS) this year?
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