Vacation Bible School
Child Signup. Please register each child individually.
Child's Name *
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Age *
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Date of Birth *
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Last Grade Completed *
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Parent's Name *
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Street Address *
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City *
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State *
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ZIP *
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Phone *
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Caregiver's Cell Phone *
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Home Email Address *
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Church
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T-shirt Size *
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Allergies or Other Medical Conditions
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Emergency Contact-relationship to Child *
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Emergency Contact- Phone *
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