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On
August 3, 2018
in
Child Information
Child Name
*
Age/Grade
*
- Select Grade -
3-4 YO
K
1
2
3
4
Gender
*
Boy
Girl
Shirt Size
*
YXS
YS
YM
YL
YXL
S
M
L
Parent Information
Mother's Name
*
Father's Name
Contact Email
*
Would you like to be added to our email list for other upcoming child events?
*
Yes
No
Address
*
Main Phone Number
*
2nd Phone Number (optional)
In Case of Emergency
When above numbers are unreachable
Contact Name
*
Phone Number
*
Relationship
*
Other Important Information
Is there anyone your child shouldn't be released to?
*
Yes
No
If yes, please list names.
Does your child have allergies or medical concerns?
*
Yes
No
Will your child require medication while at VBS?
*
Yes
No
If yes to either question, please explain.
Home Church (if any)
One friend your child may know at VBS
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Contemporary: 10:30am
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