C3 Maryville VBS 2017 - July 17-21st 6-8 PM
Please fill out one form for each child attending.
Student Last Name *
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Student First Name *
Your answer
Grade for Fall 2017 School Year *
Parent/Guardian Name *
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Parent/Guardian Phone Number *
Your answer
Home Address
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Email Address
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Emergency Contact (Name, Phone #) *
Your answer
Allergies/Special Medical Conditions *
Your answer
May we use your child's photo for promotional material or Facebook updates? *
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