Erastus Christian Church
Vacation Bible School Registration
Child's Name *
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Child's Gender *
Child's Age *
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Child's Birthday
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Grade entering next fall
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Parent's Name(s)
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Address
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City
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State
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Zip
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Home Telephone
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Parent's Cell Phone
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Email Address
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Allergies and medical conditions
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Emergency Contact
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Emergency Contact Phone Number
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Relationship to Child
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T-shirt Size
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