VBS REGISTRATION (FILL OUT ONE PER CHILD)
Monday, August 5th- Friday, August 9th 6-8pm
Email address *
STUDENT'S NAME: *
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STREET ADDRESS: *
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CITY:
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STATE:
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ZIP:
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HOME PHONE:
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PARENT/GUARDIAN NAME: *
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EMERGENCY CONTACT NUMBER: *
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ALLERGIES OR SPECIAL NEEDS:
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GRADE COMPLETED
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SHIRT SIZE (WILL BE FREE!):
A copy of your responses will be emailed to the address you provided.
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