VBS Registration
Faith Lutheran Church --- July 21 - 24, 2014
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Everywhere Fun Fair will be held at 201 Granite St., Quincy
Hours are 9 a.m. til noon, Monday - Thursday (please note change in end day)
We will collect a $10 suggested donation on the first day to offset the cost of supplies and will also be collecting canned goods for Quincy food pantries and money for an international mission goal throughout the week.
Last Name *
First Name *
Parent/Guardian Name (First and Last) *
Grade entering in Fall 2014 *
Street Address *
Town *
Zip Code *
Phone # *
Must be available at this number while VBS is in session in case of emergency
Emergency Contact #1 Name and Relationship *
Please list someone other than parent/guardian
Emergency Contact #1 Phone *
Emergency Contact #2 Name and Relationship
Emergency Contact #2 Phone
Food Allergies
Medical Conditions of which we should be aware
Email address
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