Shipwrecked 2018! Vacation Bible School Registration
First Christian Church of North Vernon
July 22-26
Supper at 5:30
Activities at 6:00
Student First Name *
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Student Last Name *
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Grade Student is Entering *
Emergency Contact (First and Last Name) *
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Emergency Contact (Phone Number) *
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People Who Can Pick-Up Student (First and Last Name) *
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Any Allergies? Reaction and Medication to Allergy *
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Any Other Important Information?
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