"On the Case" VBS 2022
First Presbyterian Church of Bentonville
Incoming 1st through 6th graders
June 5th 3:00-4:30pm
June 12th 3:00-4:30pm
June 19th 3:00-4:30pm
June 26th 3:00-4:30pm

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Child Name (First and Last) *
Child's Preferred Pronouns *
Grade (Going into Fall 2022) *
Address *
Parent/Guardian(s) Name(s) *
Parent(s)/Guardian(s) Phone Number (s) *
Parent(s)/Guardian(s) Email Address *
Emergency Contact Name *
Emergency Contact Phone Number *
Does your child have any allergies, medical conditions, and/or other needs we should be aware of?  If so, please explain. *
Please list who has permission to pick-up your child from VBS. If there are any changes to this list throughout the summer, please contact Katie Flood. *
Which Sessions will your child attend *
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