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Vacation Bible School Registration
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Child 1 Name
*
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Child 1 Age
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Child 1 Grade Entering
*
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Preschool
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Please list any medical issues we need to be aware of for Child 2.
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Child 2 Name
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Child 2 Age
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3
4
5
6
7
8
9
10
11
12
Child 2 Grade Entering
Choose
Preschool
1
2
3
4
5
6
7
8
9
Please list any medical issues we need to be aware of for Child 2.
Your answer
Parent/Guardian Name
*
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Phone
*
Your answer
Please list any persons other than yourself that are allowed to pick your child(ren) up from VBS.
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