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Vacation Bible School Registration Form
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* Indicates required question
Parent Name
*
Your answer
Parent Cell Phone Number
*
Your answer
Parent Email
Your answer
If someone besides a parent will be picking up your child, please provide their name and cell phone number.
Your answer
Child First Name
Your answer
Child Last Name
Your answer
What grade will your child be in next school year?
*
K
1st
2nd
3rd
4th
Please explain any Medical/Learning/Allergy Concerns.
*
Your answer
What size shirt does your child wear?
*
Youth Small
Youth Medium
Youth Large
Youth XL
Do you have another child to register?
*
Yes
No
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