Team Jesus VBS Registration
Sullivan First UMC- August 12 &13
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Name of Child *
Age/Grade *
Parent/Guardian Name *
Parent/Guardian Address *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Emergency Contact *
Emergency Contact Phone Number *
Are there any concerns with who can pick up your child? (If yes, please specify below) *
Allergies? *
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If allergies, please describe.
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