2023 VBS: Ready, Set, Move...Follow Jesus Here, There, and Everywhere
***Please fill out a registration form for EACH CHILD (Ages 3-10/Grades Preschool-5th)!***
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JUNE 11-14 from 5:30-7:30 at Southeastern Church of Christ
June 14 is Family Fun Night (Parents required to attend)
Student's First Name *
Student's Last Name *
Street Address (House Number and Street) *
City *
State *
Zip Code *
Home Phone *
Parent/Guardian Name *
Parent/Guardian Email *
Emergency Contact Number *
Allergies/Special Needs (Write none if not applicable)
If yes, please explain.
Student's Current Age *
Grade Completed *
T-Shirt Size (Select one for student on this form)
We hope to provide a t-shirt for each student this year if registered by June 1st. 
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