Smithfield UMC VBS: BASIC Elements

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VBS dates: June 24-28, 2019
Times: 6pm- 9pm
Ages: PK (4 years entering) - 6th grade (entering)

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Guardian Name (last, first) *

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Address *

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Contact Number *

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Contact Email *

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Child's Name *

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Grade Entering *

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Child's Age *

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Allergies or Medications *

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Emergency Contact and phone number *

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Child's Name

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Grade Entering

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Child's Age

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Allergies/Medications

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Child's Name

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Grade Entering

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Child's Age

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Allergies/Medications

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