The Race is On! VBS 2019
*Please complete a form for each child if you have multiple children in attendance. Thank you!*

July 8th-12th from 9am-12pm
2320 Heybourne Road in Minden (between Johnson Lane and Airport Road)
Ariel Borgman: (775) 781-0334
Megan Wilhelm: (775) 230-5438

Parent's Name *
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Parent's Phone Number
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Child's Name *
Your answer
Grade (as of Fall 2019) *
Allergies/Medical Conditions *
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Emergency Contact *
Please provide at least one emergency contact and their phone number in case you cannot be reached.
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