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Splash Canyon VBS - June 4-8, 2018
Registration Form (please call Sarah Van Dyken with any questions at 320-220-4600)
Child's Last Name *
Your answer
Child's First Name *
Your answer
Grade Just Finishing *
Parent/Guardian Name(s) *
Your answer
Parent/Guardian phone number *
Your answer
Emergency Contact phone number *
Your answer
List any food allergies
Home Church *
Your answer
Print, Read, Sign Consent and Medical Release Form (bring signed copy the first night of VBS) - seperate sheet *
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