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Stephenville Christian Reformed Church      Two Day VBS -We Are God's Masterpiece
June 24th and 25th, 2022 5:30PM-8:00PM
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Name of child: *
Incoming grade for the 2022-23 School Year *
Name of Legal Guardian: *
Emergency Phone Number: *
Alternate Emergency Contact(s) and Phone Number(s) (List as many as you would like):
Allergies/Medical Conditions: *
Any important information about your child that you feel is important for our staff to know:
The following person(s) have my permission to pick up my child: *
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