2019 VBS: In the Wild!
June 17th - 20th @ Bethesda Baptist Church
Guardian Name(s): *
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Guardian Phone #: *
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Guardian email:
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Address:
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Child's Name *
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Age *
Last Grade Completed *
Needed accommodations (allergies; including food allergies.):
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Emergency Contacts and Phone Number
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Who may pick up your child other than guardian listed above?
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May we photograph your child and use the photos on our website or Facebook page? *
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