VBS Registration
Event Timing: June 4th-6th, 2019
Event Address: 3131 16th Street Bedford IN
Contact us at: (812) 275-2309 or Dianna_Turner@hotmail.com
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Child's Name: *
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Child's Age:
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Name Of Parent(s):
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Street Address:
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Home Church:
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IN CASE OF EMERGENCY CONTACT:
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