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Good Friday VBS: April 3, 2026
Second Congregational Church
April 3, 2026
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Child's Name
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Nickname (Optional)
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M/F
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Male
Female
Birthdate
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MM
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DD
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YYYY
School Currently Attending
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Grade January 2026
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If siblings attending please list each sibling below
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Parent/Guardian Name
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Street Address
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City
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State
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Zip Code
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Parent/Guardian Cell Phone
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Parent/Guardian Email
*
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Emergency Contact Name
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Emergency Contact Cell Phone
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Emergency Contact Relationship to Registrant
*
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Is your child allergic to any food/medication?
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If allergic, please explain below
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I give permission for my child to be photographed during VBS at Second Congregational Church. I understand that the photos may be used to keep a journal of activities and/or to share on Second Congregational social media channels but my child's identity will not be disclosed.
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