On The Case VBS Pre-Registration
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UHBC 2022 VBS: July 11-14, 9am-noon
Parents/Guardian Name
Child(ren) Name
Address
Phone Number
Child(ren) Birthday (First Name: MM/DD/YY)
Child(ren) Grade (First name: Grade)
Allergies
Emergency Contact (other than parent): Name, Relationship, Phone Number
Those permitted to pick up your child(ren)
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