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Registration
START THE PARTY VBS JULY 15-19 2024
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Parent/Guardian First Name
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Parent/Guardian Last Name
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Parent's Cell Number
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Child's First Name
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Child's Last Name
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Child's School Grade in September 2024
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Child's Age
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Name of Siblings at VBS
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Address
Street
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City
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State
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PA
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Zipcode
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Names of People Authorized for Pick Up (PHOTO ID REQUIRED)
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ANY ALLERGIES OR LIMITATIONS WE NEED TO BE AWARE OF:
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Emergency Name and Number
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