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VBS Registration
Name of Student *
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Grade Completed during the 2017-2018 School Year *
Age *
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Gender *
Address *
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Name of Parent or Guardian *
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Parent or Guardian Telephone Number *
Your answer
Allergies
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Will your student be riding our bus? (ONLY FOR CHILDREN WHO HAVE COMPLETED KINDERGARTEN OR ABOVE AND WHO LIVE IN THE CITY LIMITS OF NEWTON) *
If so, what is address of where your student will be picked up and dropped off?
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Do you attend church? If so, Where? *
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