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2025 Evangelical UCC Vacation Bible School Registration Form
Join us for Egypt - Joseph's Journey from prison to palace.
When:
June 2-6, 9 AM -11:30 AM
Who:
4 year old - completed 5th grade
Where:
Evangelical United Church of Christ, 2520 Poplar St. Highland, IL 62249
Registration is due by May 23 , 2025
???Questions??? Call the church office at 618-654-7459.
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Child's First Name
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Your answer
Child's Last Name
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Your answer
Child's Birthday
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MM
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DD
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YYYY
Grade Completed '24-'25
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PRE K (4 yrs old by Sept. 1, 2024)
K
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Does Your Child Attend Wee Care or Peppermint Pre School?
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Child's Age
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Parents Name(s)
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Parents Phone Number
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Parents Email
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Emergency Contact Person
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Another person of contact other than a parent.
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Emergency Contact Relationship
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Emergency Contact Name & Phone Number
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Permission to use photos on EvUCC's Facebook page. Children's names will not be used.
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Yes
No
Please list any food allergies
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Your answer
Does your child have any physical, behavioral, or other special needs? (please explain)
Your answer
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