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Pre-K Vacation Bible School Registration
If Grace does not have a signed permission slip on file, we will contact you.
Name *
Your answer
Birthday *
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DD
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YYYY
Gender
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Parents/Guardians Name(s) *
Your answer
Home Address *
Your answer
Phone Number *
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Email
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Emergency Contact (list name, relationship to child & phone #) *
In the event of an emergency and we are unable to contact parent/guardian, please list someone we can contact on your child's behalf.
Your answer
List any allergies or medical needs that we should be aware of.
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I give Grace Lutheran Church permission to use photos and video taken of my child at this event to be used for promotional purposes. *
Required
In the event of an emergency, I give Grace Lutheran Church permission to pursue medical treatment for my child while every effort is made to contact the parent/guardian. *
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