First Assembly of God - Kids J.A.M. Glow in the Dark VBS Pre-Registration
First Assembly of God - Kids Jam Glow in the Dark VBS
Event Timing: July 9-13 2018 from 6:30pm to 8:30pm
Event Address: 8025 State Road 100 Keystone Heights, FL
Contact us at (352) 473-3432 or Office@KeystoneFirstAG.org
Parent / Guardian Information Section
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Parents Name *
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Email Address *
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Address *
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Phone Number
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Emergency Contact Number *
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Emergency Contact *
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Child / Participant Information Section
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Child's Name *
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Date of Birth *
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Child's Grade *
How will your Child Get Here *
What days will your Child attend? Choose all That Apply *
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Any Restrictions or Issues with your Child that we need to be aware of? *
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