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FLCC VBS Registration 2019 "God's Cosmos"
VBS Dates: Thursday, Friday, and Saturday June 27-28 6-8 pm, 29th 10 am-1 pm
Kids Nursery age through finished 5th grade
Please fill out one per child
Event Address: 2931 W Main St, Salem, VA 24153
Contact us at (540)380-4636 or communicationsflcc@gmail.com
Parent/Guardian Name *
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Child's Name *
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Parent/Guardian Email *
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Parent Guardian Phone Number (Cell Preferred)
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What days will your child attend? *
Required
Dietary restrictions *
Do we have permission to use photos of your child in materials used on the website, social media, and other materials? *
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