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Loving Jesus, Serving Others,
Reaching the World, for HIM !!!
VBS Registration
First name
Parent/Guardian First
Last name
Parent/Guardian Last
Emergency Contact
Emergency Mobile #
Street Address
City, State, ZIP
Mobile Number
Email
Last Grade Completed
Birthday
Any Medical Information/Food Allergies
May we have permission to photograph your child? Yes/No
If so, may we publish photos on promotional materials? Yes/No
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