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June 3-6 6-8 p.m. (5:30 p.m. Lite Supper for Kids & Volunteers)
Street Address, City, State, Zip
Emergency Contact Name & Number
Elementary Grade Completed
Age 3 (by July 31)
Age 4 (by July 31)
Age 5 (by July 31)
Entering Kindergarten Fall 2019
Photo Permission: Photos of my child during VBS may be used in advertising and promotional material.
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