Lombard Gospel Chapel VBS 2019
Racers: All Boys & Girls (going into K - 8th grade)
Starting Line: Lombard Gospel Chapel ~ 369 N. Stewart Ave, Lombard (630) 620-9700
Race Dates & Time: June 10th - 14th 9:30 a.m. - Noon
Parent or Guardians Name *
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Parent or Guardians Email *
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Address (Please Provide Full Address) *
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Home Phone
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Cell Phone *
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Child's Name *
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Child's Date of Birth *
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Male or Female *
Grade Going Into(Must turn 5 yrs old by Sept. 1, 2019) *
Allergies(1st Child)
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It is important to us that we provide your child with the best care. Please let us know if your child has any special needs or requires any kind of special attention. If those needs are greater than our volunteer staff is trained to manage, we would still love to have your child attend our program, however, for his/her safety we may ask that you or another adult stay with your child.
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