VBS 2018 Registration
Huntington First Church of the Nazarene
1555 Flaxmill Rd
(260) 356-1614
www.hnaz.org
Name: *
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Address: *
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Phone Number: *
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Age: *
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Last Grade Completed *
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Emergency Contact #1 (Include Name & Phone Number): *
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Emergency Contact #2 (Include Name & Phone Number): *
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Please list the people allowed to pick up your child from VBS and their relationship to your child. *
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Specific friend or leader to be with: *
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T-Shirt Size: *
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Allergies: *
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Home Church: *
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