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FRBC VBS Kids Registration (Please Fill Out One Per Child)
When: July 22nd-24th (1-3:30pm). July 25th (1-4pm, closing program)
Where: 21 Haines St Lanoka Harbor NJ, 08734
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Email
*
Your email
Name of Child
*
Your answer
Grade Just Completed
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2nd
5th
4 year old
5 years old
Kindergarten
4th
1st
3rd
Required
Parent/Guardian First & Last Name
*
Your answer
Cell Phone Number
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Your answer
Address
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Your answer
Email Address
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Your answer
Who will be picking up this child?
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Your answer
Child Allergies or Medical Conditions we should be aware of
*
Your answer
By signing your child up for Vacation Bible School, you allow FRBC to use your child's picture for promo material.
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