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VBS Form
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First Name
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Last Name of the Child
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Email
*
Child's Date of Birth
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Child's Age
*
Parent Name
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Street Address
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City
*
State
*
Country
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Postal Code
*
Any Allergies? Please describe in detail
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Emergency contact person name
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Emergency Phone Number
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Who will pick up the child?
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Phone Number of the pick up person
*
Permission to use child's picture in slide presentation
YES
NO
Do you have any questions for us?
REGISTER
Vacation Bible School Registration 2018
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Cornerstone Fellowship
