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Christmas Science VBS
Registration
Childs Name
*
Gender
*
Male
Female
Birthday
*
Month
Day
Year
Grade Completed
*
Phone
Email
Emergency Contact
*
Relationship to Child
*
Phone
Who can pick up your child?
*
Food Allergies
*
Yes
No
List
Medical Concerns
Yes
No
Explain
May we use your child’s photo or video for VBS social media and promotional materials?
Yes
No
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