Child Registration - VBS 2026
Event Timing: June 22nd-26th (9:00am-12:00pm) 
Event Address: 280 E Merritt Ave, Merritt Island, FL 32953
For more information Contact: DCE Kylee French at (619) 251-8095 or kylee.dce@faithlutheranmi.org 
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PARENT/GAURDIAN NAME, and relationship to child *
Email *
Address (optional)
Phone Number *
Alternative Contact in case of Emergency (Please add their name and phone number) *
Who can pick up your child? (please put full names and contact in case of emergency) *
Child's name (please fill out a form for each child) *
What grade is your child going into?  *
Dietary restrictions *
Any Medical concerns?
Comment/questions
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