St. James Vacation Bible School 2019
To Mars and Beyond, June 9-13, 6:00 to 8:00 p.m.
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Student's Name: *
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Address *
Best Phone Number *
Age *
Last Grade Completed *
Allergies/Medical Information *
Who may pick up your child?
Emergency Contact 1 (name and number) *
Emergency Contact 2 (name and number)
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