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Covenant Presbyterian Church VBS 2019
TO MARS AND BEYOND!! June 24-28 2019, 9am-12pm, Ages 3 years old-5th Grade
1st Child's Full Name *
Your answer
1st Child's Age *
Your answer
Grade entering in Fall 2018 for 1st child *
T-shirt size for 1st child (Note: T-shirt size cannot be guaranteed after 6/7) *
Additional information for 1st child.
This includes known allergies.
Your answer
Name of special friend with whom your 1st child would like to be paired
Optional
Your answer
2nd Child's Full Name
Your answer
2nd Child's Age
Your answer
Grade entering in Fall 2018 for 2nd child
T-shirt size for 2nd child (Note: T-shirt size cannot be guaranteed after 6/7)
Additional information for 2nd child.
This includes known allergies.
Your answer
Name of special friend with whom your 2nd child would like to be paired
Optional
Your answer
3rd Child's Full Name
Your answer
3rd Child's Age
Your answer
Grade entering in Fall 2018 for 3rd child
T-shirt size for 3rd child (Note: T-shirt size cannot be guaranteed after 6/7)
Additional information for 3rd child.
This includes known allergies.
Your answer
Name of special friend with whom your 3rd child would like to be paired
Optional
Your answer
4th Child's Full Name
Your answer
4th Child's Age
Your answer
Grade entering in Fall 2018 for 4th child
T-shirt size for 4th child (Note: T-shirt size cannot be guaranteed after 6/7)
Additional information for 4th child.
This includes known allergies.
Your answer
Name of special friend with whom your 4th child would like to be paired
Optional
Your answer
1st Parent's Full Name *
Your answer
1st Parent's Cell Phone Number *
Your answer
2nd Parent's Full Name
Your answer
2nd Parent's Cell Phone Number
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Cell Phone Number *
Your answer
Anything else we should know about your children?
Your answer
Do you agree to allow photos of your child to be used in church presentation, social media or church promotional materials? Please note that children's names will never be used. *
This includes allowing your child to be in the group photo and in the photo slideshow shown at the Thursday pm picnic.
Home church, if applicable
Your answer
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