Shipwrecked - Rescued by Jesus
Hosted by Riverview Lutheran Church (136 W. Seymour Street in Appleton) July 23-27, 2018.
Name of First Child *
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Grade of First Child (2018-2019) *
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Name of Second Child
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Age of Second Child
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Grade of Second Child (2018-2019)
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Name of Third Child
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Age of Third Child
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Grade of Third Child (2018-2019)
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Parents' Names *
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Mailing Address *
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Phone Number *
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Email Address (to confirm registration)
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Home Church Membership *
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Any allergies, medications, or medical conditions we should know about?
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How did you hear about our Vacation Bible School? *
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