VBS 2021 REGISTRATION
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Street Address, City, State
Last Grade Completed
Any Medical Information We Should Know About? (Example: food allergies)
Emergency Contacts & Phone Numbers (other than listed above)
Who may pick up your child at the end of each VBS day?
Does your child attend church? If so where?
May we have permission to photograph your child?
May we have permission to use your child's photograh for the purpose of promotion?
For questions please call our church office at 618-756-2252.
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