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2017 VBS Registration
2017 VBS Registration
Child's first name
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Child's last name
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Child's age (as of June 1, 2017)
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Child's grade (2016-2017 school year)
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Please list all allergies (food, drug, insect, other...)
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Mom's name (or guardian)
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Mom's phone (in case of emergency)
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Dad's name (or guardian)
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Dad's phone (in case of emergency)
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May your child's photo (or name) be posted on Emmanuel Baptist Church's website or Facebook page?
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