Northwest VBS
JULY 11-15, 2022
9am - 12pm
For children ages 3 years old to rising 6th graders
$40 per child
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Guardian's Name *
Guardian's Email *
Guardian's Phone Number
Child's First and Last Name *
Age of Child and Grade entering in the Fall *
Dietary restrictions *
Emergency Contact Person
Emergency Contact Phone Number
Carpool: Approved Person to pick up my child
I would like to volunteer...
My child's T-Shirt Size
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I understand the registration fee of $40 will be collected upon arrival *
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