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VBS REGISTRATION OPEN NOW
June 12-16
9am-Noon
*
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Name
*
First
Last
Phone Number
*
Address
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Street Address, City, State
Birth Date
*
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?
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Does your child attend church? If so where?
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May we have permission to photograph your child?
*
Yes
No
May we have permission to use your child's photograh for the purpose of promotion?
*
Yes
No
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For questions please call our church office at 618-756-2252.
WE WANT TO
REACH OUR
C O M M U N I T Y
FOR JESUS