SCUBA VBS @ Chepachet Union Church
Please join us at Chepachet Union Church from July 8-July 12 from 9AM-Noon for Vacation Bible School.  All kids age 3-6th grade are welcome!  Please fill out a form for each child.
Email *
Parent Full Name *
Parent Phone Number *
Parent Email *
Mailing Address *
Physical Address (if different)
Child's Full Name  *
Child's Date of Birth *
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Grade Entering in the Fall *
Does your child have any allergies or medical concerns? *
Emergency Contact #1 (Name and phone) *
Emergency Contact #2 (Name and phone)
Please name anyone who is allowed to pick your child up from VBS (list as many as you need - full names) *
How did you hear about VBS? *
Anything else you would like us to know?
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