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Community VBS Registration
This year's Community Vacation Bible School will be held at Patterson Park Community Center.

Community VBS Schedule of Events

Kickoff Event Saturday, June 2 (2 - 5PM)
VBS Day 1 Tuesday, June 5 (5:30 - 8PM)
VBS Day 2 Wednesday, June 6 (5:30 - 8PM)
VBS Day 3 Thursday, June 7 (5:30 - 8PM)
VBS Celebration Friday, June 8 (5:30 - 8PM)

Parent Name 1 (first and last)
Your answer
Parent Name 2 (first and last)
Your answer
1. Participant's Name (first and last)
Your answer
1. Age at time of VBS / Completed Grade
2. Participant's Name (first and last)
Your answer
2. Age at time of VBS / Completed Grade
3. Participant's Name (first and last)
Your answer
3. Age at time of VBS / Completed Grade
4. Participant's Name (first and last)
Your answer
4. Age at time of VBS / Completed Grade
5. Participant's Name (first and last)
Your answer
5. Age at time of VBS / Completed Grade
Address
Your answer
City / State / Zip
Your answer
Home/Cell Phone #1
Your answer
Home/Cell Phone #2
Your answer
Email Address
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Who may pick up your child(ren) at the end of VBS each day?
Your answer
Any medical or other information we may need to know?
Your answer
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