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VBS Registration
June 3-6 6-8 p.m. (5:30 p.m. Lite Supper for Kids & Volunteers)
Email address *
Student's Name *
Your answer
Street Address, City, State, Zip
Your answer
Home Phone
Your answer
Parent/Guardian Name
Your answer
Emergency Contact Name & Number
Your answer
Allergies/Special Needs
Your answer
Elementary Grade Completed
Preschool
Photo Permission: Photos of my child during VBS may be used in advertising and promotional material.
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A copy of your responses will be emailed to the address you provided.
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