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VBS Registration  4 yrs old - 6th grade
Englewood Baptist Church  
3118 Washington Ave  Bedford IN 47421
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Child's Name
Child's Age and last grade of school
Address
Adult Contact Person's Name 
Email address 
Best Number to reach you
Allergies?  
Do you attend a church?  If yes- which one? 
Who should pick up the child after VBS each night?
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