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Mountain Ridge Bible School 2017 VBS Registration
Join us this year as we study Pilgrim's Progress and journey with Christian on his trip to the Celestrial City.

Please fill out the form below to register your child/children.

Mornings with Don Dunkerton
PreK - 5th grade
9:30am - 12:15pm

Evenings with Andy Tremper
6th - 12th grade
7:00pm - 9:00pm

Parent or Guardian Name
Your answer
Address
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Phone Number
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Email
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Emergency Contact - Name and Phone Number
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Child #1
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Child #1 Grade completed
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Child #1 allergies - Please note all relevant food (dairy | peanut etc.)/medical allergies below.
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Child #2
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Child #2 Grade completed
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Child #2 allergies - Please note all relevant food (dairy | peanut etc.)/medical allergies below.
Your answer
Child #3
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Child #3 Grade completed
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Child #3 allergies - Please note all relevant food (dairy | peanut etc.)/medical allergies below.
Your answer
Child #4
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Child #4 Grade completed
Your answer
Child #4 allergies - Please note all relevant food (dairy | peanut etc.)/medical allergies below.
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Who may pick up your child?
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Who may not pick up your child?
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Do you attend church and if so, where?
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By registering your child/children you are declaring that you are the legal parent/guardian of the minor child/children listed above and authorized to grant such permission. You give permission to Mountain Ridge Bible Chapel to use photographs containing my child in the closing program slideshow and on our website. Do you have any other comments?
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