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Child's name
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Age
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Grade just completed
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T-shirt size
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child
youth
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Address
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Parent/Guardian Name
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Parent/Guardian Email:
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Preferred Method of Contact
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Emergency Contact #1 Name/Number
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Emergency Contact #2 Name/Number
Doctor Name/Number
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Known Allergies
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Authorized person of pickup at dismissal: Name: Relationship:
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Do you attend a church? If so where?
Would you like to help with VBS 2025, but only on certain days/times. If so when?
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