2025 VBS Registration

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Child's Name

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Child's Age

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6 7 8 9 10 11 12

Child's Date of Birth

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Child's 2025-26 Grade

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1 2 3 4 5 6

Parent's Name

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Parent Email

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This address will receive a confirmation email

Parent Phone

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Emergency Contact Name

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Emergency Phone

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Parent Mailing Address

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Allergies (food, latex, insect, etc.)

Other Special Needs

Friend Request

How did you find out about our VBS?

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Friends/Family Yard sign Facebook Other

Description

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