Smith Mills Camp VBS Preregistration Form
August 16 - 20, 2021        10:00a.m. to 12;00p.m. (noon)        1344 Tucker Road, Dartmouth, MA  02747
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Number of Children *
Required
Child/Children Name and Age *
Allergies or Medical Conditions (or type NONE) *
Parent/Guardians Name *
Parent(s)/Guardian(s) Cell Phone Number(s) *
Address *
Email Address *
We will email you with information prior to VBS with any event changes
Emergency Contact *Name and Phone Number *
Emergency Contact *Address *
Home Church *
Please let us know if and where you attend Church
What days will you attend? *
Required
Dietary restrictions *
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