Concrete & Cranes VBS 2021
SYMSONIA BAPTIST CHURCH
June 14 - 18 6:00 - 8:30 pm Ages 4 years old through 6th grade
Child's name ( please register each child separately) *
Address *
City, State, and Zip *
Phone # *
Child's date of birth *
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Grade just completed *
Child's Age *
Parents' Names *
In addition to parents, who is authorized to pick up your child after VBS? *
Does your child have any allergies? If so, please list. *
Does your child attend church? *
Email address
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