Join us for VBS from June 15-19 (9:30a - 12:30p)

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Phone

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Child # 1 - Name

Child # 1 - Age (with birthday)

Child # 1 - Please list any food restrictions, allergies, or anything else we should know.

Child # 2 - Name

Child # 2 - Age (with birthday)

Child # 2 - Please list any food restrictions, allergies, or anything else we should know.

Child # 3 - Name

Child # 3 - Age (with birthday)

Child # 3 - Please list any food restrictions, allergies, or anything else we should know.

If other children will be attending, please write their names, ages, birthdays, and other relevant details below:

Thank you for registering; we're excited you can join us! Please check the "yes" box below that you acknowledge that additional forms will be provided via email to complete your child's or children's registrations.

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Join us for VBS from June 15-19 (9:30a - 12:30p)

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