Vacation Bible School 2024 Registration
Please complete this form to register your child for Vacation Bible School at Shiloh Church on June 11-13!!
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Child's Name *
Child's Date of Birth *
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/
DD
/
YYYY
School grade completed in May 2024: *
Caregivers' Names *
Street Address *
City *
State *
Zip Code *
Phone Number *
Email Address *
Allergies or other medical conditions
Any other information you would like us to know about your child.
Alternate Emergency Contact Name *
Alternate Emergency Contact Phone Number
*
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