VBS 2023 Registration Form

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VBS 2023 Registration Form

Vacation Bible School
Monday, June 19th-23rd
2:00--4:00pm
2424 Norkenzie Rd Eugene OR 97408

5 years old-5th grade (completed)

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Email *

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Jesus Is the Light of the World

Child's name *

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Grade Completed *

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Age *

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Gender *

Female

Male

Food Allergies *

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Street Address *

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City *

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State *

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Zip Code *

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Parent/ Guardian *

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Phone Number *

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Email Address *

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Emergency Contact *

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Emergency Contact Phone Number *

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Medical Information (Please list any serious medical conditions) *

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