2022 Happy Camper VBS Registration
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Child's Name *
Grade most recently completed *
Please list any allergies, conditions, or special needs we should be aware of
Parent(s) Name(s) *
Address (with city, state, & zip) *
Telephone Number *
Email *
In case of emergency, and we are unable to reach a parent, who do we contact? What is their relation to the child? *
Emergency contact phone number *
Church Affiliation *
Required
Would you want information about any of these programs?
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