2017 International Spy Academy VBS
Monday-Friday, June 19 - June 23, 2017
9:00AM-12:30PM (lunch provided from 12:00-12:30)
Grace Evangelical Free Church, 755 73rd Avenue N., Fridley, MN 55432
Ages: 3 years old (must be potty trained) through entering 6th grade (Fall 2017)

Cost:
BEFORE June 1: $15/child ($45 family maximum) - Bring a friend who has never attended for FREE
BEGINNING June 1: $25/child ($75 family maximum) - Bring a friend who has never attended for FREE
Contact: Trisha Pull (tpull@gracefree.org) or 763-784-7199

Child's Last Name
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Child's First Name
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Birthdate
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DD
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Grade Entering in Fall 2017
Allergies or Medical Conditions
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Tshirt Size
Lunch will be provided at no additional cost from 12:00-12:30. Will your child stay for lunch? Children not staying for lunch need to be picked up at 12:00.
Name of a friend whom your child would like to be included in their group, if possible:
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Parent Name (First & Last)
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Street Address
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City, State, Zipcode
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Parent Phone Number
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Parent Email
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Emergency Contact #1 Name:
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Emergency Contact #1 Phone Number
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Emergency Contact #2 Name:
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Emergency Contact #2 Phone Number:
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Do you have more children to register?
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