Vacation Bible School 2019
Email address *
Child's name *
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Parent's name(s) *
Your answer
Parent phone number we can use to contact you while your child is in our care *
Your answer
Emergency contact name *
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Emergency contact phone number *
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Allergies or other medical information that we should be aware of? *
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Child's age/grade (if your child's grade/age isn't list, the class is full) *
Child's Birthday *
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