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Caldwell Nazarene Church VBS Registration
True North Vacation Bible School (July 14-18); Meets From 6-8 PM
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Who is authorized to pick-up child?
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Child's Name (first and last)
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Child's Gender:
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Child's Age:
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Date of birth:
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Last school grade completed:
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Parent(s) name:
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Street address:
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City:
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State:
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Zip:
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Parent Cellphone/Home:
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Parent email address:
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Home church:
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Permission for child's photo to be used in our social media: Yes or No
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Allergies, medical conditions, or special needs:
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In case of emergency, contact name and number:
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Relationship to child:
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