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VBS Sign up
Sign up sheet for children who will attend VBS at Holy Trinity Lutheran Church, LaGrange, KY
Email address *
Student First Name *
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Student Last Name *
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Student Nickname (if any)
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Student Age *
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Gender *
Grade just finished *
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T-shirt size (youth) *
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Home Church
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Does your child have allergies? *
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Does your child have any medical issues or special needs? *
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Place my child in the same group as (child's name)
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Parent #1 Name (first and last) *
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Parent Address *
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City *
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State *
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Zip *
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Parent email *
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Parent phone number (note home or cell) *
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Parent alternate phone number
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Parent #2 Name (first and last)
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Parent address
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City
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State
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Zip
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Parent email
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Parent phone number (note home or cell)
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Parent alternate phone number
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Emergency Contact (first and last name) *
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Emergency Contact phone number *
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Alternate Pickup Person (only parents, emergency contact or other alternates who are listed will be allowed to pick up children. If someone is not on the list, they will not be able to take the child)
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Alternate Pickup Person phone number
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Any other general information
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A copy of your responses will be emailed to the address you provided.
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