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Vacation Bible School Registration Form

Child's Name

Age

Gender

T-Shirt Size

Allergies (Please list any)

Child's Name #2

Age

Gender

T-Shirt Size

Allergies (Please list any)

Child's Name #3

Age

Gender

T-Shirt Size

Allergies (Please list any)

Parent/Guardian Name

Parent/Guardian Name

Parent/Guardian Cell

Mailing Address

Parent/Guardian Email

Person Authorized to pick-up child

Cell

Emergency Contact

Relationship

Emergency Contact Phone Number