Shipwrecked VBS
Name of participant *
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Grade he/she is entering *
Does the participant have any allergies? *
Please list the allergy
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Parents' names and phone numbers *
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Parent's email *
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Emergency contact and phone number *
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Do you give Living Waters Church permission to use photos of my child/children on the website and in marketing? *
How did you hear about our program? *
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Would you like to volunteer?
Who has permission to pick this child up? *
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Please bring a check to the church for $30 per child. Thank you! *
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